Organization
RICHARD M LIEBERMAN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MICHAEL LIEBERMAN MD (PHYSICIAN)
(610) 770-9700
Entity
Organization
Contact information
Practice address
1259 S CEDAR CREST BLVD, 235, ALLENTOWN, PA 18103-6372
(610) 770-9700
(610) 770-1791
Mailing address
1259 S CEDAR CREST BLVD, 235, ALLENTOWN, PA 18103-6372
(610) 770-9700
(610) 770-1791
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
MD030973E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02352700
CAPITAL BLUE CROSS
PA
05
—
1025309
—
PA
01
—
94789
AETNA
PA
Enumeration date
03/22/2007
Last updated
10/19/2007
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