Individual
PETER ROBERT LAIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 WALNUT STREET, SUITE 920 ATTN: CORNEAL ASSOCIATES, PC, PHILADELPHIA, PA 19107-5109
(215) 928-3180
(215) 928-3854
Mailing address
840 WALNUT STREET, SUITE 920 ATTN: CORNEAL ASSOCIATES, PC, PHILADELPHIA, PA 19107-5109
(215) 928-3180
(215) 928-3854
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD008438E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005434
AETNA
—
05
—
0007630720004
—
PA
01
—
016766
BLUE SHIELD
PA
Enumeration date
07/07/2005
Last updated
07/31/2009
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