Individual provider · Type 1 NPI
Justin Michael Liddy, PA-C
Physician Assistant · Mahwah, NJ
Practice location
1400 Macarthur Blvd
Mahwah, NJ 07430-3618
Fax (201) 962-9735
Mailing address
716 Wilson Ct
River Vale, NJ 07675-6345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 25MP00500100 (NJ) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1780154443
Justin Michael Liddy, PA-C's National Provider Identifier is 1780154443, issued on Nov 26, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mahwah, NJ. The record was last updated on Nov 26, 2018.