# TRISTATE PHYSICAL MEDICINE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487382206
- **Authorized official:** RONALD MICHAEL LIEBERMAN DO (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (302) 233-6916

## Contact information

- **Practice address:** 317 W GERMANTOWN PIKE STE 102, EAST NORRITON, PA 19403-4278
- **Practice address phone:** (302) 233-6916
- **Practice address fax:** (484) 631-1315
- **Mailing address:** 1000 N WEST ST STE 1200, WILMINGTON, DE 19801-1058
- **Mailing address phone:** (302) 233-6916
- **Mailing address fax:** (484) 631-1315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 08/10/2022
- **Last updated:** 01/30/2025