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Individual

CLIFFORD LIVINGSTON AMEND

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 S CHARLES ST, BALTIMORE, MD 21201-2725
(410) 605-2544
Mailing address
19 KIMBERLY CT, SEVERNA PARK, MD 21146-3732

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101229759
VA
207R00000X
Internal Medicine Physician
Primary
D0032449
MD

Other

Enumeration date
06/17/2005
Last updated
07/08/2007
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