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MS. LEAH DEANDREA WALDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Mailing address
28 NEWELL RIDGE RD, CUMBERLAND, ME 04021-3915
(267) 981-5300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00160900
NJ
363A00000X
Physician Assistant
Primary
PA1601
ME

Other

Enumeration date
03/08/2006
Last updated
07/07/2016
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