Organization
DEACONESS GLOVER AFFILLIATED PHYSICIANS
Active
Organization
DEACONESS GLOVER AFFILLIATED PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LIEBMAN (CEO)
(781) 453-5210
Entity
Organization
Contact information
Practice address
148 CHESTNUT ST, NEEDHAM, MA 02492-2505
(781) 453-3000
Mailing address
148 CHESTNUT ST, NEEDHAM, MA 02492-2505
(781) 453-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9727540
—
MA
Enumeration date
08/03/2006
Last updated
09/11/2025
Update your record
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