Individual
DR. BRUCE LIZERBRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14200 BUSTLETON AVE, SUITE 4, PHILADELPHIA, PA 19116-1186
(215) 514-7986
(215) 493-0752
Mailing address
14200 BUSTLETON AVE, SUITE 4, PHILADELPHIA, PA 19116-1186
(215) 514-7986
(215) 493-0752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-005235-L
PA
Other
Enumeration date
05/21/2007
Last updated
05/10/2011
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