Individual
DR. ALEXIS SLOAN LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 HAMILTON ST, #109, PHILADELPHIA, PA 19130-3814
(215) 774-1166
(215) 279-8383
Mailing address
2000 HAMILTON ST, #109, PHILADELPHIA, PA 19130-3814
(215) 774-1166
(215) 279-8383
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD059659L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017846850001
—
PA
01
—
034976
MEDICARE PROVIDER NUMBER
PA
Enumeration date
05/05/2006
Last updated
02/17/2010
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