Dr. Michael D Lieb, D.O.
in Hainesport, NJ. Individual provider (NPI-1).
NPI number1609024447
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1609024447
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael D Lieb
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2008
- Certification date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 25MB09114300 | NJ | Yes | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
212 Creek Crossing BlvdHainesport, NJ 08036-2766
Phone 609-267-1004 · Fax 609-267-1044
Mailing address
301 Lippincott Dr Ste 410Marlton, NJ 08053-4197
Phone 609-267-1004 · Fax 609-267-1044
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