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Individual

MR. ROBERT A LIBERATORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2391 COURT DR, SUITE 100, GASTONIA, NC 28054-2196
(704) 867-7388
(704) 865-8999
Mailing address
2391 COURT DR, SUITE 100, GASTONIA, NC 28054-2196
(704) 867-7388
(704) 865-8999

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
296
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
890809B
NC
Enumeration date
09/22/2005
Last updated
06/22/2010
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