Individual
JONATHAN LIEBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
58 OLD NORTH RD, WORTHINGTON, MA 01098-9753
(413) 238-5511
(413) 238-5358
Mailing address
58 OLD NORTH RD, WORTHINGTON, MA 01098-9753
(413) 238-5511
(413) 238-5358
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
226054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP1363
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/26/2006
Last updated
02/06/2015
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