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Individual

DR. JONATHAN LISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2613
(717) 798-3677
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2613
(717) 798-3677

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD026620E
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD026620E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005624300
MD
01
0069228000
AMERIHEALTH 65 PA
PA
05
00963494
PA
01
01821702
CAPITAL BLUE CROSS-WMG
PA
01
1142823
AMERIHEALTH MERCY-WMG
PA
01
1511720
GATEWAY-WMG
PA
01
20101249
AMERIHEALTH MERCY-YHOBT
PA
01
30267
JOHNS HOPKINS
PA
01
341502
MAMSI-WMG
PA
01
34202
GEISINGER
PA
01
438042
HIGHMARK BLUE SHIELD
PA
01
543415
CAREFIRST MD BCBS
MD
01
5577109
AETNA
PA
01
80858
UNISON-WMG
PA
Enumeration date
07/07/2006
Last updated
08/18/2021
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