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NPI Code Detail

MEDICARE: ALDA HEALTH LLC

MEDICARE: ALDA HEALTH LLC
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
1207RA0401XAddiction Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1639046683
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALDA HEALTH LLC
Provider Business Mailing Address
First Line : 8 LANES END
Second Line :
City : IPSWICH
State : MA
Zip : 01938-2524
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 GORHAM RD STE 104
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-2462
Country : US
Telephone Number : 781-354-8051
Fax Number :
Authorized Official
Title or Position : COO/CFO
Name : JOHN AUER
Credential :
Telephone Number : 781-354-8051
Provider Enumeration Date : 10/22/2025
Last Update Date : 10/22/2025

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Directions to “ALDA HEALTH LLC ” Practice Location

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