Healthcare Provider Details

I. General information

NPI: 1548316508
Provider Name (Legal Business Name): JUDITH VICTORIA ALDRICH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 MILL ST
WALDOBORO ME
04572-6013
US

IV. Provider business mailing address

27 MILL ST
WALDOBORO ME
04572-6013
US

V. Phone/Fax

Practice location:
  • Phone: 207-832-2300
  • Fax: 207-823-2323
Mailing address:
  • Phone: 207-832-2300
  • Fax: 207-832-2323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO1436
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number261095
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberDO1436
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: