Dr. Marc Andrew Lieberman, M.D.
Pediatrics, Pediatric Emergency Medicine in Worcester, MA. Individual provider (NPI-1).
NPI number1366657348
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1366657348
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marc Andrew Lieberman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2007
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 235614 | MA | Yes |
| 208000000X | Pediatrics | 235614 | MA | |
| 208000000X | Pediatrics | MD12930 | RI |
Practice location
55 Lake Ave NWorcester, MA 01655-0002
Phone 774-442-2599 · Fax 774-442-2510
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885 · Fax 508-334-1977
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