Bradford C Liva in Ridgewood - Ophthalmology

Bradford C Liva - NPI 1669477485

Bradford C Liva is a Ophthalmology in Ridgewood, New Jersey. Bradford C Liva practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Bradford C Liva is 1669477485. The last update date is 2018-10-15.

Bradford C Liva's current location address is 119 Prospect St Ste 1, Ridgewood, New Jersey. You can contact this provider via phone number 2014441185 and fax number 2014441403. The mailing address for Bradford C Liva is 119 Prospect St Ste 1, Ridgewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradford C Liva
Address 119 Prospect St Ste 1, Ridgewood, New Jersey
Phone Number 2014441185
Fax Number 2014441403
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1669477485
Provider Enumeration Date 2005-06-17
Last Updated Date 2018-10-15

Provider Mailing Address Detail

Address 119 Prospect St Ste 1
City Ridgewood
State New Jersey (NJ)
Post Code 745044510
Phone Number 2014441185
Fax Number 2014441403

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No MA38479
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1389301 NJ --

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FAQs about Bradford C Liva

What is the unique 10-digit identifier code assigned to Bradford C Liva by the Centers for Medicare & Medicaid Services?

The Bradford C Liva has been issued the NPI (National Provider Identifier) 1669477485 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Bradford C Liva?

The Bradford C Liva is situated at 119 Prospect St Ste 1, in the city of Ridgewood, state of NJ, with the zip code 745044510.

What is Bradford C Liva's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bradford C Liva is Ophthalmology, and the taxonomy code that categorizes this field of expertise is 207W00000X.

On what date did Bradford C Liva receive its 1669477485 assignment from the Centers for Medicare & Medicaid Services?

The Bradford C Liva was assigned its 1669477485 on 2005-06-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Bradford C Liva's information last updated?

The Bradford C Liva's information was last updated on 2018-10-15.

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