Provider Demographics
NPI:1053533711
Name:LIVINGSTON, PHILIP SCOTT (CNMT)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:SCOTT
Last Name:LIVINGSTON
Suffix:
Gender:M
Credentials:CNMT
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Mailing Address - Street 1:4494 YACHT CLUB DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-5545
Mailing Address - Country:US
Mailing Address - Phone:941-284-5962
Mailing Address - Fax:
Practice Address - Street 1:9 W FRONT ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2816
Practice Address - Country:US
Practice Address - Phone:877-767-8233
Practice Address - Fax:866-540-1697
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLCRT 465452471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology