Provider Demographics
NPI:1780856963
Name:KLAYMAN, ANDREA SHELLEY (MD)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:SHELLEY
Last Name:KLAYMAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:100 FODEN ROAD, WEST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2327
Mailing Address - Country:US
Mailing Address - Phone:207-828-0361
Mailing Address - Fax:207-874-1483
Practice Address - Street 1:84 MARGINAL WAY
Practice Address - Street 2:SUITE 800
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101
Practice Address - Country:US
Practice Address - Phone:207-774-5816
Practice Address - Fax:207-523-8595
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2012-07-27
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Provider Licenses
StateLicense IDTaxonomies
ME018842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
002389501Medicare PIN
ME002389502Medicare PIN