| Michelle E Liggio | |
|
7665 Maple Ave Pennsauken NJ 08109-3328 | |
| (856) 665-9520 | |
| (856) 665-6684 |
| Full Name | Michelle E Liggio |
|---|---|
| Speciality | Family Medicine |
| Location | 7665 Maple Ave, Pennsauken, New Jersey |
| Authorized Official Name and Position | Michelle Elizabeth Liggio (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8566659520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle E Liggio 7665 Maple Ave Pennsauken NJ 08109-3328 Ph: (856) 665-9520 | Michelle E Liggio 7665 Maple Ave Pennsauken NJ 08109-3328 Ph: (856) 665-9520 |
| NPI Number | 1861689630 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861689630 | NPI | - | NPPES |
| 6938205 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB61420 (New Jersey) | Primary |
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