Provider Demographics
NPI:1780826693
Name:CLAIRE BOCCIA LIANG MD PA
Entity Type:Organization
Organization Name:CLAIRE BOCCIA LIANG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCCIA LIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-359-0400
Mailing Address - Street 1:101 MADISON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7357
Mailing Address - Country:US
Mailing Address - Phone:973-359-0400
Mailing Address - Fax:973-359-0600
Practice Address - Street 1:101 MADISON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7357
Practice Address - Country:US
Practice Address - Phone:973-359-0400
Practice Address - Fax:973-359-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08117800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty