Individual
PETER J WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 KIMBALL AVE STE 115, S BURLINGTON, VT 05403-6841
(802) 658-5756
Mailing address
74 PLEASANT ST, STE 204, NEW LONDON, NH 03257-5881
(802) 658-5756
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
VT
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0320000527
VT
Other
Enumeration date
07/04/2006
Last updated
01/11/2017
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