Individual
BORIS LIBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
217 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1703
(856) 547-1661
(856) 547-6117
Mailing address
217 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1703
(856) 547-1661
(856) 547-6117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB04369000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109180803
—
NJ
Enumeration date
10/10/2005
Last updated
05/26/2017
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