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Individual

KEVIN LIEBMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
208 BUNN DR, PRINCETON, NJ 08540-2851
(609) 683-4999
Mailing address
208 BUNN DRIVE, PRINCETON, NJ 08540-6493
(609) 683-4999

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01046900
NJ
363L00000X
Nurse Practitioner
346148
NY

Other

Enumeration date
07/16/2020
Last updated
01/09/2022
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