Individual
ADAM SIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-2484
(973) 282-0562
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-2484
(973) 282-0562
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
25MA08446300
NJ
208000000X
Pediatrics Physician
MD11817
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508872631
NPI
—
05
—
7058391
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
—
Enumeration date
07/31/2006
Last updated
09/11/2009
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