Organization
ALEX LIEBERMAN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER LIEBERMAN III MD (OWNER)
(609) 652-9933
Entity
Organization
Contact information
Practice address
11 GLEN AIRE DR, EGG HARBOR TOWNSHIP, NJ 08234-7834
(609) 652-9933
Mailing address
11 GLEN AIRE DR, EGG HARBOR TOWNSHIP, NJ 08234-7834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03306900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432695
—
NJ
Enumeration date
11/11/2014
Last updated
11/11/2014
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