MR. Justin Michael Liddy, PA-C
NPI #1780154443 in Mahwah, New Jersey
Provider Information
- NPI Number
- 1780154443
- Entity Type
- Individual
- Name
- MR. Justin Michael Liddy, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 26, 2018
- Last Updated
- Nov 26, 2018
Practice Location
- Address
- 1400 MACARTHUR BLVD
- City
- Mahwah
- State
- New Jersey
- ZIP Code
- 07430-3618
- Phone
- (201) 316-8431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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