Individual
LISA SOLOMON PIVAWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2956
(973) 243-0002
Mailing address
1500 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-2956
(973) 243-0002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB08229500
NJ
Other
Enumeration date
04/23/2007
Last updated
07/30/2007
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