Organization
PULMONARY MEDICINE OF WAYNE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIVIU RAPPAPORT M.D. (OWNER)
(973) 956-1404
Entity
Organization
Contact information
Practice address
508 HAMBURG TPKE, SUITE 202, WAYNE, NJ 07470-8482
(973) 956-1404
(973) 956-1646
Mailing address
508 HAMBURG TPKE, SUITE 202, WAYNE, NJ 07470-8482
(973) 956-1404
(973) 956-1646
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA57242
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068158
—
NJ
01
—
2720576000
AMERIHEALTH
NJ
01
—
2720576004
AMERIHEALTH
NJ
01
—
2K2751
HEALTHNET
NJ
01
—
3060227
AETNA
NJ
01
—
9C1761
WELLCARE
NJ
01
—
AMERIGROUP
AMERIGROUP
NJ
01
—
J5518
HORIZON HMO BLUE
NJ
01
—
P782845
OXFORD
NJ
Enumeration date
04/13/2007
Last updated
08/22/2020
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