Provider Demographics
NPI:1871613836
Name:WALDMAN, RACHEL L (MD)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:L
Last Name:WALDMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2660 W MARKET ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4208
Mailing Address - Country:US
Mailing Address - Phone:330-926-3240
Mailing Address - Fax:330-255-5081
Practice Address - Street 1:2660 W MARKET ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-4208
Practice Address - Country:US
Practice Address - Phone:330-926-3240
Practice Address - Fax:330-255-5081
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2016-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35091959207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3070368Medicaid
OH3070368Medicaid