John P Liuzzo, Md | |
9245 Kennedy Blvd North Bergen NJ 07047-5322 | |
(201) 567-1703 | |
(201) 621-0369 |
Full Name | John P Liuzzo, Md |
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Speciality | Internal Medicine |
Location | 9245 Kennedy Blvd, North Bergen, New Jersey |
Authorized Official Name and Position | John P Liuzzo (OWNER) |
Authorized Official Contact | 2016252289 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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John P Liuzzo, Md Po Box 202 Tenafly NJ 07670-0202 Ph: (201) 625-2289 | John P Liuzzo, Md 9245 Kennedy Blvd North Bergen NJ 07047-5322 Ph: (201) 567-1703 |
NPI Number | 1750679148 |
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Provider Enumeration Date | 07/19/2011 |
Last Update Date | 08/23/2011 |
Medicare PECOS PAC ID | 3173794153 |
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Medicare Enrollment ID | O20110923000061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750679148 | NPI | - | NPPES |
Provider Name | John P Liuzzo |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1851329619 PECOS PAC ID: 0941205355 Enrollment ID: I20060918000517 |
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