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Individual

DR. KENNETH M. LIEBMAN

Active
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Individual

DR. KENNETH M. LIEBMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA06614000
NJ
207T00000X
Neurological Surgery Physician
MD424987
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010465710002
PA
05
7449801
NJ
Enumeration date
07/16/2006
Last updated
02/23/2018
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