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Individual

JEFFREY SCOTT LIVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH, MS

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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