Individual
DR. STEPHEN LEE VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039-5817
(201) 449-1000
(201) 399-2433
Mailing address
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039-5817
(201) 449-1000
(201) 399-2433
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
25MA10630300
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD61015353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356760664
—
WA
Enumeration date
04/15/2014
Last updated
04/08/2021
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