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Individual

SAMUEL LIBBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 FORBES ST STE 200, ANNAPOLIS, MD 21401-1599
(410) 263-6363
Mailing address
PO BOX 64316, BALTIMORE, MD 21264-4316

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0018381
MD
2080P0205X
Pediatric Endocrinology Physician
D18381
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
979441700
MD
Enumeration date
06/10/2006
Last updated
10/13/2020
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