Provider Demographics
NPI:1508653387
Name:COURTNEY, LIAM MARTIN
Entity type:Individual
Prefix:
First Name:LIAM
Middle Name:MARTIN
Last Name:COURTNEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SCULLIN DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08620-2953
Mailing Address - Country:US
Mailing Address - Phone:609-915-7344
Mailing Address - Fax:
Practice Address - Street 1:113 E LAUREL RD
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1363
Practice Address - Country:US
Practice Address - Phone:856-566-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program