Individual
ALAN J LIFTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 OLD SHORT HILLS RD, STE 103, LIVINGSTON, NJ 07039-5605
(973) 535-5800
Mailing address
22 OLD SHORT HILLS RD, STE 103, LIVINGSTON, NJ 07039-5605
(973) 535-5800
(973) 535-9550
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
54835
NJ
207ND0900X
Dermatopathology Physician
54835
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605165
MEDICARE ID
NJ
Enumeration date
06/09/2005
Last updated
01/25/2009
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