Mackenzie Robert Livermore
NPI #1356983787 in Rutherford, New Jersey
Provider Information
- NPI Number
- 1356983787
- Entity Type
- Individual
- Name
- Mackenzie Robert Livermore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medicine - Sports Medicine
- Enumeration Date
- Oct 17, 2019
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 1 FELICIAN WAY
- City
- Rutherford
- State
- New Jersey
- ZIP Code
- 07070-1977
- Phone
- (908) 752-7127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine - Sports Medicine — Sports Medicine |
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Organizations
| Provider Name | |
|---|---|
| Pro Form Sports Medicine and Wellness Associates |
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