Individual
ROBERT T VAUGHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 SHAPE DR, KENNEBUNK, ME 04043-6601
(207) 467-8988
(207) 467-8969
Mailing address
9 HEALTHCARE DR, SUITE 201, BIDDEFORD, ME 04005-3747
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014111
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027406
ANTHEM
ME
01
—
2074076
AETNA
ME
05
—
310110099
—
ME
01
—
610006001
CIGNA
ME
01
—
D23880
HARVARD PILGRIM
ME
Enumeration date
04/26/2006
Last updated
01/31/2011
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