Individual
DR. DOUGLAS FRANCIS LIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WEST RIDGEWOOD AVENUE, SUITE 101, PARAMUS, NJ 07652
(201) 444-7770
(201) 445-2570
Mailing address
625 FRANKLIN TPKE, SUITE 101, RIDGEWOOD, NJ 07450-1913
(201) 444-7770
(201) 445-2570
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA040964
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SBQ452359
PROV #
—
Enumeration date
08/22/2006
Last updated
01/10/2017
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