Individual
STEVEN LIAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
406 LIPPINCOTT DR, SUITE E, MARLTON, NJ 08053-4168
(856) 983-1900
(856) 983-1914
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB03232200
NJ
207RG0100X
Gastroenterology Physician
25MB3232200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084833000
AMERIHEALTH
—
05
—
00931004
—
NJ
Enumeration date
01/09/2006
Last updated
10/19/2020
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