Organization
DELAWARE INTERVENTIONAL SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MICHAEL LIEBERMAN D.O. (DOCTOR)
(302) 674-8444
Entity
Organization
Contact information
Practice address
1673 S STATE ST, SUITE B, DOVER, DE 19901-5148
(302) 674-8444
(302) 674-8588
Mailing address
1673 S STATE ST, SUITE B, DOVER, DE 19901-5148
(302) 674-8444
(302) 674-8588
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C20004708
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036294
—
DE
Enumeration date
12/22/2006
Last updated
10/24/2011
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