Provider Demographics
NPI:1598054926
Name:WALDMAN, ABIGAIL HART (MD)
Entity Type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:HART
Last Name:WALDMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1153 CENTRE ST
Mailing Address - Street 2:SUITE 4J
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-3446
Mailing Address - Country:US
Mailing Address - Phone:617-983-4626
Mailing Address - Fax:617-983-4504
Practice Address - Street 1:1153 CENTRE ST
Practice Address - Street 2:SUITE 4J
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-3446
Practice Address - Country:US
Practice Address - Phone:617-983-4626
Practice Address - Fax:617-983-4504
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2023-05-23
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Provider Licenses
StateLicense IDTaxonomies
MA265614207ND0101X, 207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology