Organization
PULMONARY CRITICAL CARE AND SLEEP ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE LIEB M.D. (PROVIDER)
(610) 521-3838
Entity
Organization
Contact information
Practice address
1098 W BALTIMORE PIKE STE 3402, MEDIA, PA 19063-5139
(610) 565-3250
(610) 892-0948
Mailing address
1098 W BALTIMORE PIKE STE 3402, MEDIA, PA 19063-5139
(610) 565-3250
(610) 892-0948
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015121220001
—
PA
01
—
1766461
BLUE CROSS BLUE SHIELD
PA
Enumeration date
06/01/2006
Last updated
05/03/2018
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