Individual
HEATHER K LIVEZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1515 BROAD ST, BLOOMFIELD, NJ 07003-3002
(973) 873-7000
(973) 743-8943
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
224300
MA
207L00000X
Anesthesiology Physician
Primary
25MB09237900
NJ
207L00000X
Anesthesiology Physician
OS012720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107805
—
MA
01
—
478782
TUFTS ASSOC HEALTH PLANS
MA
01
—
966836
NETWORK HEALTH
MA
01
—
AA45658
HARVARD PILGRIM HEALTH
MA
01
—
J29387
BCBS OF MASS
MA
Enumeration date
02/08/2006
Last updated
03/27/2023
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