Individual
DR. IAN H LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010
(202) 476-5000
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
0101036573
VA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MDO46686
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6071787
—
VA
Enumeration date
02/24/2006
Last updated
02/05/2019
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