Individual
GORDON DANIEL LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 W NINTH ST, FREDERICK, MD 21701-4546
(301) 695-6800
(301) 695-6891
Mailing address
10825 ADMIRALS WAY, POTOMAC, MD 20854-1232
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
C168998
CA
207RG0100X
Gastroenterology Physician
Primary
MD0070283
MD
Other
Enumeration date
09/03/2008
Last updated
04/06/2021
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