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General NPI Number Information
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NPI Number | 1316137383
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Entity Type | Individual
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Provider Name | MATTHEW C G LIWSKI DPM
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Gender | Male
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 1000 S MERCER ST 4TH FLOOR JAMESON SOUTH
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City | NEW CASTLE
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State | PA
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Zip | 16101-4672
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Country | US
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Telephone | 724-654-5433
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Fax | 724-654-3278
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Provider Business Mailing Address
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Address Line | 700 8TH AVE W STE 101
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City | PALMETTO
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State | FL
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Zip | 34221-4737
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Country | US
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Telephone | 941-776-4000
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Fax | 941-845-4963
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | SC005768
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO4321
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License Number State | FL
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