Organization
MICHELLE E LIGGIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ELIZABETH LIGGIO D.O. (OWNER/PHYSICIAN)
(856) 665-9520
Entity
Organization
Contact information
Practice address
7665 MAPLE AVE, PENNSAUKEN, NJ 08109-3328
(856) 665-9520
(856) 665-6684
Mailing address
7665 MAPLE AVE, PENNSAUKEN, NJ 08109-3328
(856) 665-9520
(856) 665-6684
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB61420
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6938205
—
NJ
Enumeration date
09/26/2007
Last updated
04/03/2013
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