Individual
ERIC PAUL LIBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 234-1891
(203) 234-7037
Mailing address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 234-1891
(203) 234-7037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025715
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001257153
—
CT
01
—
010025715CT03
ANTHEM BLUECROSS/BLUESHIE
CT
01
—
01025715
CIGNA
CT
01
—
0460198
AETNA
CT
01
—
061535742
UNITED HEALTH CARE
CT
01
—
0Q1451
HEALTHNET
CT
01
—
110180168
RAILROAD MEDICARE
CT
01
—
257150
CONNECTICARE
CT
01
—
P522302
OXFORD
CT
Enumeration date
06/15/2006
Last updated
03/03/2014
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