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Contact Information

DOUGLAS J LIVINGSTON, DPM
2408 RIVERTON RD
CINNAMINSON, NJ08077-3721
 Phone: 856-829-2101
 Fax: 856-829-3550
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DOUGLAS J LIVINGSTON · (Male)

NPI # 1245332600
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/05/2006
Last updated 06/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00187800
  • NJ Medicaid 4703405
  • NJ Other 0389622000 AMERIHEALTH
  • NJ Other 1158367 HORIZON MERCY
  • NJ Other 480030233 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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