Individual
ROBERT M LIEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
227 CENTER GROVE RD, RANDOLPH, NJ 07869-2034
(973) 989-8957
Mailing address
227 CENTER GROVE RD, RANDOLPH, NJ 07869-2034
(973) 989-8957
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA046679
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011324430002
—
PA
01
—
LI593920
BLUE SHIELD
PA
01
—
MA046679
MEDICAL LICENSE
NJ
01
—
MD036245E
MEDICAL LICENSE
PA
Enumeration date
05/10/2006
Last updated
03/18/2008
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