Individual
DR. MICHAEL ROY LEIBMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 GRAND AVE, 4TH FLOOR, ENGLEWOOD, NJ 07631-3574
(201) 227-9000
(201) 227-9900
Mailing address
106 GRAND AVE, 4TH FLOOR, ENGLEWOOD, NJ 07631-3574
(201) 227-9000
(201) 227-9900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60838
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K3198
HEALTHNET
NJ
01
—
3139174
USHC
NJ
01
—
7640021
AETNA
NJ
01
—
8217863
GHI
NJ
01
—
P2040293
OXFORD
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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