Individual
BERNADETTE MARIA LIVEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 CHURCH RD, MOUNT LAUREL, NJ 08054-1110
(856) 222-4444
(856) 222-0049
Mailing address
90 MATAWAN RD STE 302, MATAWAN, NJ 07747-2653
(732) 441-7177
(732) 441-7165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00277600
NJ
Other
Enumeration date
02/08/2012
Last updated
04/29/2026
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