Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 261095 | ME |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO1436 | ME |
Y | 207Q00000X | Family Doctor | DO1436 | ME |
NPI | 1548316508 |
---|---|
Provider Name | Dr. Judith Victoria Aldrich |
First Address | Pittsfield, MA 01201-4652 |
Second Address | Waldoboro, ME 04572-6013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041361 | ANTHEM BCBS (01) | ME |
13490099 | (05) | ME |
F73165 | (02) |