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Individual

DR. DONALD LISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
313 RICES MILL RD, WYNCOTE, PA 19095-1706
(215) 901-5002
Mailing address
313 RICES MILL RD, WYNCOTE, PA 19095-1706
(215) 901-5002

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07523000
NJ
207R00000X
Internal Medicine Physician
Primary
MD044582E
PA

Other

Enumeration date
04/09/2024
Last updated
04/09/2024
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