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NPI Code Detail

MEDICARE: DR. JUDITH VICTORIA ALDRICH DO

MEDICARE: DR. JUDITH VICTORIA ALDRICH DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204D00000XNeuromusculoskeletal Medicine & OMM PhysicianDO1436ME
2207Q00000XFamily Medicine PhysicianDO1436ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2041361OTHERMEANTHEM BCBS

General Provider Information

NPI Number : 1548316508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH VICTORIA ALDRICH DO
Provider Business Mailing Address
First Line : 126 DEPOT ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-5913
Country : US
Telephone Number : 207-832-6394
Fax Number : 207-536-5162
Provider Business Practice Location Address
First Line : 126 DEPOT ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-5913
Country : US
Telephone Number : 207-832-6394
Fax Number : 207-536-5162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 03/11/2026

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Directions to “ DR. JUDITH VICTORIA ALDRICH DO” Practice Location

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