Individual
DR. RICHARD R LIBERTHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 HAWTHORNE PL, SUITE 110, BOSTON, MA 02114-2335
(617) 726-8510
(617) 726-9839
Mailing address
8 HAWTHORNE PL, SUITE 110, BOSTON, MA 02114-2335
(617) 726-8510
(617) 726-9839
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
37162
MA
2080P0202X
Pediatric Cardiology Physician
37162
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019671
—
MA
01
—
700822
TUFTS HEALTH PLAN
MA
01
—
M08708
BCBS MA
MA
Enumeration date
03/01/2006
Last updated
06/16/2008
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