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Organization

BRADFORD C. LIVA, M.D.,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADFORD C LIVA MD (PRESIDENT)
(201) 444-1185
Entity
Organization

Contact information

Practice address
119 PROSPECT ST STE 1, RIDGEWOOD, NJ 07450-4451
(201) 444-1185
(201) 444-1403
Mailing address
119 PROSPECT ST STE 1, RIDGEWOOD, NJ 07450-4451
(201) 444-1185
(201) 444-1403

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA38479
NJ

Other

Enumeration date
03/18/2010
Last updated
10/15/2018
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