Organization
DR SAMUEL LIZERBRAM & DR NEIL M COHEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LIZERBRAM D.O (PRESIDENT)
(215) 673-7600
Entity
Organization
Contact information
Practice address
12000 BUSTLETON AVE, SUITE 102, PHILADELPHIA, PA 19116-2151
(215) 673-7600
(215) 673-1894
Mailing address
12000 BUSTLETON AVE, SUITE 102, PHILADELPHIA, PA 19116-2151
(215) 673-7600
(215) 673-1894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002814L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00006962380001
—
PA
Enumeration date
06/10/2006
Last updated
08/04/2010
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