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Organization

DR JESSE LIEBMAN CHIROPRACTIC PHYSICIAN LLC

Active
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Organization

DR JESSE LIEBMAN CHIROPRACTIC PHYSICIAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSE R. LIEBMAN D.C. (PHYSICIAN)
(856) 596-3000
Entity
Organization

Contact information

Practice address
100 OLD MARLTON PIKE W, MARLTON, NJ 08053-2026
(856) 596-3000
(856) 596-7311
Mailing address
100 OLD MARLTON PIKE W, MARLTON, NJ 08053-2026
(856) 596-3000
(856) 596-7311

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
38MC00423400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2116578000
AMERIHEALTH
NJ
01
2664713
AETNA
NJ
01
P2705755
OXFORD
NJ
05
U35059
NJ
Enumeration date
05/09/2007
Last updated
04/09/2009
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