Organization
CERTIFIED LUNG ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE LIEB M.D. (PRESIDENT)
(610) 521-3838
Entity
Organization
Contact information
Practice address
23 W CHESTER PIKE, SUITE 201, RIDLEY PARK, PA 19078-1629
(610) 521-3838
(610) 521-0202
Mailing address
23 W CHESTER PIKE, SUITE 201, RIDLEY PARK, PA 19078-1629
(610) 521-3838
(610) 521-0202
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016814180001
—
PA
01
—
0724197000
KEYSTONE
PA
Enumeration date
07/05/2005
Last updated
07/21/2022
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