Individual
MR. JORDAN TAYLOR LIEBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3180 MAIN ST STE 301, BRIDGEPORT, CT 06606-4237
(203) 373-9100
Mailing address
5059 MAGNOLIA BAY CIR, PALM BEACH GARDENS, FL 33418-6733
(561) 401-1306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
Other
Enumeration date
01/26/2023
Last updated
02/01/2023
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