Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA06579400 | NJ |
NPI | 1194790535 |
---|---|
Provider Name | Dr. Frank J Liggio |
First Address | Millburn, NJ 07041-1144 |
Second Address | Millburn, NJ 07041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 22/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8014110 | (05) | NJ |
G98080 | (02) | NJ |