Individual
DR. ERIC BRUCE LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 FOREST GLEN RD, SUITE 200, SILVER SPRING, MD 20910-1459
(301) 681-5700
(301) 681-5599
Mailing address
1400 FOREST GLEN RD, SUITE 200, SILVER SPRING, MD 20910-1459
(301) 681-5700
(301) 681-5599
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
D0051817
MD
207RI0011X
Interventional Cardiology Physician
Primary
D0051817
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060062711
RAILROAD MEDICARE
MD
05
—
4001818
—
MD
01
—
5022
ELDER HEALTH
MD
01
—
606537
MARYLAND CAREFIRST
MD
01
—
7684192
AETNA PROVIDR NUMBER
MD
01
—
A4700005
DC CAREFIRST
MD
Enumeration date
05/17/2006
Last updated
05/18/2012
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