Provider Demographics
NPI:1093705766
Name:FILDERMAN, ANDREW E (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:FILDERMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 GLEN COVE DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856
Mailing Address - Country:US
Mailing Address - Phone:207-594-4244
Mailing Address - Fax:
Practice Address - Street 1:4 GLEN COVE DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856
Practice Address - Country:US
Practice Address - Phone:207-301-3060
Practice Address - Fax:207-301-5260
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014011207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
D83250Medicare UPIN
MEMM5951Medicare PIN