Healthcare Provider Details

I. General information

NPI: 1831281815
Provider Name (Legal Business Name): DAVID LIGOR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILLIAMSON ST
ELIZABETH NJ
07202-3625
US

IV. Provider business mailing address

25 HAGEMAN RD
SOMERSET NJ
08873-7348
US

V. Phone/Fax

Practice location:
  • Phone: 908-527-5000
  • Fax:
Mailing address:
  • Phone: 908-400-9936
  • Fax: 732-448-2791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MB06714600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: