Organization
LIV SPECIALTY CARE CT PC
Active
Organization
LIV SPECIALTY CARE CT PC
Active
Other names
Local Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
WOODRUFF HALL BAUM (CEO)
(646) 568-0193
Entity
Organization
Contact information
Practice address
47010 COMMUNITY PLZ STE 150, STERLING, VA 20164-1896
(703) 977-6779
(703) 202-5685
Mailing address
PO BOX 53304, PHOENIX, AZ 85072-3304
(844) 614-2354
(844) 278-8635
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/09/2023
Last updated
08/25/2026
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