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1821170598
TIMOTHY C WAITE
PORTLAND, ME
NPI
1821170598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: ME 015257)
Enumeration Date
2006-10-20
Last Update Date
2007-07-09
Business Address
-- TIMOTHY C WAITE MD
17 BISHOP ST
PORTLAND, ME 04103-2659
Phone number: 207-871-1235
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Mailing Address
-- TIMOTHY C WAITE MD
899 RIVERSIDE ST
PORTLAND, ME 04103-1070
Phone number: 207-871-1200
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