Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE ROBERT LIVERMORE
Active Sole ProprietorSports Medicine (EM) · RUTHERFORD, NJ
Registration Details
- NPI Number
- 1356983787
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2019 (6.5127285513893 yrs)
- Last Updated
- Oct 17, 2019
- License
-
25MT00272900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 FELICIAN WAYRUTHERFORD, NJ, 070701977Browse NJ providers · Browse ZIP 07070
- Phone
- 9087527127
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Other Sports Medicine (EM) Providers in RUTHERFORD, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER HAUGLID | DO | 1437656360 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.