Individual
JOHN A LIBERTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5429
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5429
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6166768
—
MA
Enumeration date
01/04/2007
Last updated
01/18/2008
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