Individual
DR. ROBERT A LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
419 REDWOOD ST, 420, BALTIMORE, MD 21201-1734
(410) 328-6533
(410) 328-1178
Mailing address
419 REDWOOD ST, 420, BALTIMORE, MD 21201-1734
(410) 328-6533
(410) 328-1178
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0012572
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001871600
—
MD
Enumeration date
09/23/2005
Last updated
05/20/2008
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