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Individual

ROBERT D LIVINGSTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
430 BATH ROAD, SUITE 102, BRUNSWICK, ME 04011
(207) 442-0350
(207) 442-0355
Mailing address
430 BATH RD, SUITE 102, BRUNSWICK, ME 04011-2637
(207) 442-0350
(207) 442-0355

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
012764
ME
207X00000X
Orthopaedic Surgery Physician
88329
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230940099
ME
05
23094099
ME
Enumeration date
11/10/2005
Last updated
01/21/2015
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