| Organization Name: | EDMUND S. LIU, MD, PA |
| NPI Number: | 1053430264 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDMUND S. LIU (PRESIDENT) |
| Mailing Address: | 207 Pompton Ave Verona |
| State: | NJ US |
| Postal Code: | 070443018 |
| Phone Number: | 9735711933 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 03/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | 25MA07394800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |