Individual
DR. ZHANNA LIBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
974 INMAN AVE, SUITE 1-A, EDISON, NJ 08820-1177
(908) 412-8866
(908) 412-9363
Mailing address
974 INMAN AVE, SUITE 1-A, EDISON, NJ 08820-1177
(908) 412-8866
(908) 412-9363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06945000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8061203
—
NJ
Enumeration date
04/13/2006
Last updated
04/04/2017
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