Provider Demographics
NPI:1326016718
Name:WALDMAN, HOWARD M (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:M
Last Name:WALDMAN
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:81 HIGHLAND AVE
Mailing Address - Street 2:NORTH SHORE CARDIOVASCULAR ASSOCIATES
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2714
Mailing Address - Country:US
Mailing Address - Phone:978-744-5900
Mailing Address - Fax:978-745-9534
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:NORTH SHORE CARDIOVASCULAR ASSOCIATES
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:978-744-5900
Practice Address - Fax:978-745-9534
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2010-09-21
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA53171207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA053171OtherTUFTS HEALTH PLAN
MA6191304Medicaid
MAJ04273OtherBCBS MA
MA053171OtherTUFTS HEALTH PLAN
A57231Medicare UPIN