Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 241903 | NY |
N | 208600000X | Surgeon | 241903 | NY |
Y | 2086S0102X | Surgical Critical Care | MD443896 | PA |
NPI | 1144311234 |
---|---|
Provider Name | Dr. Jayme David Lieberman |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 04/12/2015 |