Organization
LIBERTY UCC MANGAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK SOIFERMAN DO (OWNER)
(215) 422-3646
Entity
Organization
Contact information
Practice address
401 HORSHAM RD, HORSHAM, PA 19044-2013
(215) 422-3646
Mailing address
401 HORSHAM RD, HORSHAM, PA 19044-2013
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS010670L
MEDICAL LICENSE
PA
Enumeration date
01/25/2018
Last updated
03/01/2019
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