Individual provider · Type 1 NPI
Bradford C. Liva, MD
Retina Specialist (Ophthalmology) Physician · Ridgewood, NJ
NPI number
1669477485
Active
Practice location
119 Prospect St Ste 1
Ridgewood, NJ 07450-4451
Fax (201) 444-1403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | MA38479 (NJ) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 38479 (NJ) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Another provider at this address
Other retina specialist (ophthalmology) physician providers in Ridgewood
About NPI 1669477485
Bradford C. Liva, MD's National Provider Identifier is 1669477485, issued on Jun 17, 2005. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Ridgewood, NJ. The record was last updated on Oct 15, 2018.