Individual
DR. MICHAEL LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 GRANT AVE, SUITE 102, PHILA, PA 19115-4378
(215) 464-7222
(215) 464-6025
Mailing address
2000 GRANT AVE, SUITE 102, PHILA, PA 19115-4378
(215) 464-7222
(215) 464-6025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD040345L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071689
—
PA
Enumeration date
12/05/2006
Last updated
11/21/2012
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