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Organization
LIVARA HEALTH MEDICAL GROUP NJ, PC
Active
Organization
LIVARA HEALTH MEDICAL GROUP NJ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL STOTLAND MD (OWNER/PRESIDENT)
(844) 316-7979
Entity
Organization
Contact information
Practice address
7525 METROPOLITAN DR STE 306, SAN DIEGO, CA 92108-4404
(844) 316-7979
Mailing address
7525 METROPOLITAN DR STE 306, SAN DIEGO, CA 92108-4404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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