Individual
DR. JORDAN LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UCHC C/O NJ DOC, WHITTLESEY RD & STUYVESANT AVE, BATES BUILDING, 2ND FLOOR, TRENTON, NJ 08625-0863
(609) 292-9700
Mailing address
UCHC C/O NJ DOC, WHITTLESEY RD & STUYVESANT AVE, BATES BUILDING, 2ND FLOOR, TRENTON, NJ 08625-0863
(609) 292-9700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05925300
NJ
2084P0800X
Psychiatry Physician
MD044764L
PA
Other
Enumeration date
05/14/2007
Last updated
01/07/2013
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