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Organization

LIVINGSTON SUBSPECIALTY GROUP, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BOTTI (CONTROLLER)
(973) 597-1690
Entity
Organization

Contact information

Practice address
349 E NORTHFIELD RD, SUITE 200, LIVINGSTON, NJ 07039-4802
(973) 597-0900
(973) 597-0910
Mailing address
349 E NORTHFIELD RD, SUITE 200, LIVINGSTON, NJ 07039-4802
(973) 597-0900
(973) 597-0910

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA045092
NJ
207RI0200X
Infectious Disease Physician
MA045093
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3457109
NJ
Enumeration date
07/19/2006
Last updated
03/24/2015
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