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Individual

JOSEPH ANTHONY LIOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 MAIN ST, SPARTA, NJ 07871-1937
(973) 729-9700
(973) 729-0807
Mailing address
PO BOX 1002, SPARTA, NJ 07871-5002
(973) 729-9700
(973) 729-0807

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07982300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0110655
NJ
05
03523122
NY
Enumeration date
07/07/2006
Last updated
03/31/2015
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