Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADFORD C LIVA, MD
Active Sole ProprietorDR. BRADFORD C LIVA, MD is a Sports Medicine (Emergency) healthcare provider located in RIDGEWOOD, New Jersey. NPI 1669477485 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1669477485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2005 (21.199426585526 yrs)
- Last Updated
- Oct 15, 2018
- Licenses
-
MA38479 (NJ)38479 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
119 PROSPECT ST STE 1RIDGEWOOD, NJ, 074504451Browse NJ providers · Browse ZIP 07450
- Phone
- 2014441185
- Fax
- 2014441403
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in RIDGEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. RONY GELMAN | MD | 1164689535 |
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.