Individual
LYDIA LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD., MPH
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6500
(856) 488-6507
Mailing address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6500
(856) 488-6507
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
230213
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08070600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01077798200
AMERICHOICE
NJ
05
—
0119636
—
NJ
05
—
02496871
—
NY
01
—
1352535
AETNA
NJ
01
—
2360963
UNITED HEALTHCARE
NJ
01
—
2779286000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
3818841
CIGNA
NJ
01
—
60026657
HORIZON NJ HEALTH
NJ
01
—
P3737619
OXFORD
NJ
Enumeration date
07/03/2006
Last updated
04/27/2018
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