Individual
DR. RITA LIEBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6 HILL HOLLOW RD, WARREN, NJ 07059-5535
(908) 787-6607
Mailing address
6 HILL HOLLOW RD, WARREN, NJ 07059-5535
(908) 787-6607
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00208500
NJ
213E00000X
Podiatrist
N004114-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5061903
—
NJ
Enumeration date
08/10/2006
Last updated
11/30/2016
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