Individual
MARTIN THOMAS LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10452 BALTIMORE AVE, BELTSVILLE, MD 20705-2321
(301) 441-3355
(301) 441-3359
Mailing address
4418 ROSEDALE AVE, BETHESDA, MD 20814-4753
(301) 869-0700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0047087
MD
Other
Enumeration date
06/06/2006
Last updated
09/12/2012
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