Individual
JEFFREY SCOTT LIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH, MS
Contact information
Practice address
1 W RIDGEWOOD AVE, SUITE G-1, PARAMUS, NJ 07652-2359
(201) 444-3060
(201) 444-3933
Mailing address
1 W RIDGEWOOD AVE, SUITE G-1, PARAMUS, NJ 07652-2359
(201) 444-3060
(201) 444-3933
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
069231
MI
2083X0100X
Occupational Medicine Physician
205179-1
NY
2083X0100X
Occupational Medicine Physician
Primary
MA49009
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133803BS8
NPI
—
01
—
2K0321
HEALTHNET
—
Enumeration date
04/21/2006
Last updated
11/21/2011
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