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Individual

ROBERT EDWARD ELVINGTON JR.

Active
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Individual

ROBERT EDWARD ELVINGTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17469
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
17469
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
17469
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174698
SC
01
9223
MEDICARE PTAN
SC
Enumeration date
07/28/2006
Last updated
03/18/2026
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