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Individual

DR. PETER SELIG LIEBERT

Active
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Individual

DR. PETER SELIG LIEBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., FACS, FAAP

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
028589
CT
2086S0120X
Pediatric Surgery Physician
Primary
093575
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00607570
NY
01
082589
CONN. LISCENCE #
CT
01
093575
NEW YORK LISCENCE #
NY
Enumeration date
09/16/2006
Last updated
01/15/2015
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