Provider Demographics
NPI:1023589553
Name:L.I.V. MEDICAL HYDRATION THERAPY LLC
Entity type:Organization
Organization Name:L.I.V. MEDICAL HYDRATION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RORY
Authorized Official - Middle Name:BRETT
Authorized Official - Last Name:SNEPAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-447-3904
Mailing Address - Street 1:201 3RD AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:BELMAR
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-2050
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 3RD AVE APT 3B
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2050
Practice Address - Country:US
Practice Address - Phone:732-447-3904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty