Individual
PHILIP G LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 PARK STREET, HONESDALE, PA 18431
(570) 253-0202
(570) 253-1701
Mailing address
650 PARK STREET, HONESDALE, PA 18431
(570) 253-0202
(570) 253-1701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD -035676E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010512100001
—
PA
01
—
1506161
LICENSE
NY
Enumeration date
08/29/2006
Last updated
03/26/2009
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