Lieberman, Bryan -

Lieberman, Bryan - is an sole proprietor health care provider with primary practice located at 825 Washington St Suite 115, Norwood MA 02062-3441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lieberman, Bryan - can be contacted via phone (781) 769-0465.

Contact Information

Primary practice address
825 Washington St Suite 115 Norwood MA 02062-3441
Phone: (781) 769-0465
Fax: (781) 769-4696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 38491 Massachusetts

Profile Details

NPI number 1114916533
LBN Legal business name Lieberman, Bryan -
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114916533 NPPES
Massachusetts MEDICAID 2061511
Massachusetts MEDICAID K02087

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