Individual
TIMOTHY C WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 GANNETT DR STE B, SOUTH PORTLAND, ME 04106-7940
(207) 828-0048
(207) 772-3743
Mailing address
280 GANNETT DR STE B, SOUTH PORTLAND, ME 04106-7940
(207) 828-0048
(207) 772-3743
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
015257
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269210099
—
ME
01
—
RB7
ANTHEM
ME
Enumeration date
10/20/2006
Last updated
04/22/2025
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