Individual
DR. BARRY J. LIVSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 ARK RD, MOUNT LAUREL, NJ 08054-3188
(856) 778-8860
(609) 261-4180
Mailing address
1295 ROUTE 38, P.O. BOX 479, HAINESPORT, NJ 08036-2702
(609) 261-7017
(609) 261-4180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07429300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8884609
—
NJ
Enumeration date
08/15/2005
Last updated
01/07/2009
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