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John Liccardo, M.D
NPI 1588071591 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1 Forrest Blend Drive
Titusville, NJ 08560 - Phone
- (609) 883-3886
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey