Individual
DR. JAY ADAM LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N DUNLAP ST, SUITE 400, MEMPHIS, TN 38105-4625
(901) 287-7337
(901) 266-6488
Mailing address
850 POPLAR AVE BLDG 2, MEMPHIS, TN 38105-4607
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
254120-1
NY
207K00000X
Allergy & Immunology Physician
Primary
48645
TN
207KA0200X
Allergy Physician
48645
TN
207R00000X
Internal Medicine Physician
2006015608
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528562
—
TN
Enumeration date
07/21/2006
Last updated
01/28/2025
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