Provider Demographics
NPI:1346225711
Name:WALDRON, ROSALIND R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:R
Last Name:WALDRON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:32 COLLEGE AVE
Mailing Address - Street 2:COLLEGE PLACE STE 203
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-6100
Mailing Address - Country:US
Mailing Address - Phone:207-872-5139
Mailing Address - Fax:207-872-5148
Practice Address - Street 1:32 COLLEGE AVE
Practice Address - Street 2:COLLEGE PLACE STE 203
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-6100
Practice Address - Country:US
Practice Address - Phone:207-872-5139
Practice Address - Fax:207-872-5148
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-08
Last Update Date:2023-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME012367207Q00000X
MEMD12367207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME121250000Medicaid
B86436Medicare UPIN