Individual
DR. JOHN PHILIP LIUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
9245 KENNEDY BLVD, NORTH BERGEN, NJ 07047
(201) 567-1703
(201) 621-0369
Mailing address
400 TENAFLY RD, PO BOX 202, TENAFLY, NJ 07670-0202
(201) 625-2289
(201) 621-0369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
219792
NY
207R00000X
Internal Medicine Physician
25MA08089600
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08089600
NJ
207RI0011X
Interventional Cardiology Physician
25MA08089600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0278131
—
NJ
Enumeration date
06/29/2006
Last updated
08/07/2012
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