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Individual

DR. ANN DAVINA TUDDENHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12 SHUMAN AVE, AUGUSTA, ME 04330-6020
(855) 239-3556
(207) 502-1138
Mailing address
12 SHUMAN AVE, AUGUSTA, ME 04330-6020
(855) 239-3556
(207) 502-1138

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
014495
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26888099
ME
Enumeration date
10/05/2006
Last updated
04/26/2018
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