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Organization
DELAWARE INTERVENTIONAL SPINE ASSOCIATES LLC
Active
Organization
DELAWARE INTERVENTIONAL SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MICHAEL LIEBERMAN D.O. (DOCTOR)
(302) 674-8444
Entity
Organization
Contact information
Practice address
1673 S STATE ST, SUITE B, DOVER, DE 19901-5148
(302) 674-8444
(302) 674-8588
Mailing address
1673 S STATE ST, SUITE B, DOVER, DE 19901-5148
(302) 674-8444
(302) 674-8588
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C20004708
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036294
—
DE
Enumeration date
12/22/2006
Last updated
10/24/2011
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