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Individual

DR. JEFFREY LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140
(215) 707-3663
(215) 707-6417
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-3663
(215) 707-6417

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
233530
NY
207Y00000X
Otolaryngology Physician
Primary
MD440896
PA

Other

Enumeration date
06/04/2008
Last updated
03/17/2018
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