Individual
ROBERT THOMAS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Mailing address
67 EUSTIS PKWY, WATERVILLE, ME 04901-5173
(207) 873-2136
(207) 872-4522
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
010642
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333590099
—
ME
01
—
P00136027
RAILROAD MEDICARE
ME
Enumeration date
07/24/2006
Last updated
10/31/2011
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