Individual
DR. CYNTHIA LISKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4193
(570) 501-4109
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD031072E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011390790007
—
PA
Enumeration date
02/17/2006
Last updated
10/10/2012
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