Individual
INGA LIBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4157 WASHINGTON ST, ROSLINDALE, MA 02131-1718
(617) 327-5600
(617) 327-5444
Mailing address
17 TANGLEWOOD RD, NEWTON, MA 02459-2849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11357
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311961
—
MA
Enumeration date
08/29/2006
Last updated
07/08/2007
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