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Individual

JOHN PAUL LIVINGSTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
154 GREAT RD, BEDFORD, MA 01730-2725
(781) 430-8161
(781) 430-8191
Mailing address
154 GREAT RD, BEDFORD, MA 01730-2725
(781) 430-8161
(781) 430-8191

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3570
TN
363A00000X
Physician Assistant
Primary
PA8005
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3570
TN PA LICENSE NUMBER
TN
01
PA8005
MA PA LICENSE NUMBER
MA
Enumeration date
05/14/2018
Last updated
07/25/2022
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