Organization
MICHAEL LIEB M D P C.
Active
Other names
Bustleton Gastroenterology assoc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LIEB MD (OWNER)
(215) 464-7222
Entity
Organization
Contact information
Practice address
2000 GRANT AVE, SUITE 102, PHILADELPHIA, PA 19115-4378
(215) 464-7222
(215) 464-6025
Mailing address
2000 GRANT AVE, SUITE 102, PHILADELPHIA, PA 19115-4378
(215) 464-7222
(215) 464-6025
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0498049000
KEYSTONE
PA
Enumeration date
06/14/2007
Last updated
07/25/2016
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