Individual
JASON GLEN LIEBERTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 MOUNT AUBURN ST, SOUTH 4, ROOM 454, CAMBRIDGE, MA 02138-5502
(617) 499-5112
Mailing address
330 MOUNT AUBURN ST, SOUTH 4, ROOM 454, CAMBRIDGE, MA 02138-5502
(617) 499-5112
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
250216
MA
Other
Enumeration date
05/29/2009
Last updated
06/22/2015
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