Provider Demographics
NPI:1437132602
Name:LIANG, LIANG (MD)
Entity Type:Individual
Prefix:
First Name:LIANG
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 OSKAR CT
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-8236
Mailing Address - Country:US
Mailing Address - Phone:973-422-0995
Mailing Address - Fax:973-422-0996
Practice Address - Street 1:349 E NORTHFIELD RD
Practice Address - Street 2:SUITE 217
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4802
Practice Address - Country:US
Practice Address - Phone:973-422-0995
Practice Address - Fax:973-422-0996
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA68619207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ022376U8EMedicare ID - Type Unspecified
G84986Medicare UPIN