Individual
BETH ANN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1722
ME
207Q00000X
Family Medicine Physician
Primary
25MB10354500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311100099
—
ME
Enumeration date
03/29/2006
Last updated
07/09/2018
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