Individual
ELIZABETH ANN LEIBFREID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1601 HADDON AVE STE A1, CAMDEN, NJ 08103-3109
(856) 757-3840
(856) 757-3519
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 757-3840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00832900
NJ
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005227
—
NJ
Enumeration date
01/17/2024
Last updated
10/21/2024
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