Individual
DR. NAOMI WALDBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5187 MAYFIELD RD, LYNDHURST, OH 44124-2468
(440) 449-1014
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35048448
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555288
—
OH
Enumeration date
08/03/2005
Last updated
01/22/2010
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