Individual
ANDREW LISCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
315 HIGHWAY 35 N, BLDG B, SUITE 112, EATONTOWN, NJ 07724-2277
(310) 614-5584
Mailing address
206 HOOVER RD, NEPTUNE, NJ 07753-4040
(310) 614-5584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR26163600
NJ
163WA2000X
Administrator Registered Nurse
26NR26163600
NJ
163WC1600X
Continuing Education/Staff Development Registered Nurse
26NR26163600
NJ
163WI0500X
Infusion Therapy Registered Nurse
26NR26163600
NJ
163WR0006X
Registered Nurse First Assistant
26NR26163600
NJ
Other
Enumeration date
08/01/2024
Last updated
08/19/2025
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