Provider Demographics
NPI:1235102575
Name:LIWAG, ALEXANDER JONAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JONAS
Last Name:LIWAG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3350 HWY 138
Mailing Address - Street 2:BLDG 2, SUITE 126
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9693
Mailing Address - Country:US
Mailing Address - Phone:732-280-6455
Mailing Address - Fax:732-280-6456
Practice Address - Street 1:3350 HWY 138
Practice Address - Street 2:BLDG 2, SUITE 126
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9693
Practice Address - Country:US
Practice Address - Phone:732-280-6455
Practice Address - Fax:732-280-6456
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07966900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics