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Individual
DR. JONATHAN LISS
Active
Individual
DR. JONATHAN LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD026620E
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD026620E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005624300
—
MD
01
—
0069228000
AMERIHEALTH 65 PA
PA
05
—
00963494
—
PA
01
—
01821702
CAPITAL BLUE CROSS-WMG
PA
01
—
1142823
AMERIHEALTH MERCY-WMG
PA
01
—
1511720
GATEWAY-WMG
PA
01
—
20101249
AMERIHEALTH MERCY-YHOBT
PA
01
—
30267
JOHNS HOPKINS
PA
01
—
341502
MAMSI-WMG
PA
01
—
34202
GEISINGER
PA
01
—
438042
HIGHMARK BLUE SHIELD
PA
01
—
543415
CAREFIRST MD BCBS
MD
01
—
5577109
AETNA
PA
01
—
80858
UNISON-WMG
PA
Enumeration date
07/07/2006
Last updated
08/18/2021
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