Individual
ROBERT LIEBENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, WCB BLDG 4TH FL, PHILADELPHIA, PA 19141
(215) 456-7900
(215) 456-3428
Mailing address
101 EAST OLNEY AVENUE, SUITE 400, PHILADELPHIA, PA 19120
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD020513E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007225610009
—
PA
Enumeration date
04/05/2006
Last updated
03/15/2012
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