Individual
DOUGLAS JOHN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2408 RIVERTON RD, CINNAMINSON, NJ 08077-3721
(856) 829-2101
(856) 829-3550
Mailing address
570 HADDON AVE STE C, COLLINGSWOOD, NJ 08108-1449
(854) 833-1479
(856) 854-7969
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00187800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0389622000
AMERIHEALTH
NJ
01
—
1158367
HORIZON MERCY
NJ
05
—
4703405
—
NJ
01
—
480030233
RAILROAD MEDICARE
NJ
Enumeration date
09/05/2006
Last updated
06/08/2008
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