Individual
GLENN S LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 MAPLE ST STE 100, GILFORD, NH 03249-5510
(603) 522-6163
(603) 524-3153
Mailing address
14 MAPLE ST, SUITE 100, GILFORD, NH 03249-6580
(603) 528-9100
(603) 524-5743
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10628
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30200430
—
NH
Enumeration date
12/01/2006
Last updated
02/21/2022
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