Provider Demographics
NPI:1316137383
Name:LIWSKI, MATTHEW C G (DPM)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:C G
Last Name:LIWSKI
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:700 8TH AVE W STE 101
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4737
Mailing Address - Country:US
Mailing Address - Phone:941-776-4000
Mailing Address - Fax:941-845-4963
Practice Address - Street 1:1000 S MERCER ST
Practice Address - Street 2:4TH FLOOR JAMESON SOUTH
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-4672
Practice Address - Country:US
Practice Address - Phone:724-654-5433
Practice Address - Fax:724-654-3278
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2021-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASC005768213ES0103X
FLPO4321213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery