Provider Demographics
NPI:1043541246
Name:PINA, LIZA MIRIAM (MD)
Entity type:Individual
Prefix:DR
First Name:LIZA
Middle Name:MIRIAM
Last Name:PINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:36 BLUEBIRD CT
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-5506
Mailing Address - Country:US
Mailing Address - Phone:908-237-2870
Mailing Address - Fax:908-237-2871
Practice Address - Street 1:36 BLUEBIRD CT
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5506
Practice Address - Country:US
Practice Address - Phone:908-237-2870
Practice Address - Fax:908-237-2871
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA076739002080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology