Lieberman, Gary A

Lieberman, Gary A is an individual health care provider with primary practice located at 10101 Lorain Ave , Silver Spring MD 20901-2458. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lieberman, Gary A can be contacted via phone (301) 681-8400.

Contact Information

Primary practice address
10101 Lorain Ave Silver Spring MD 20901-2458
Phone: (301) 681-8400
Fax: (301) 681-3339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00532 Maryland

Profile Details

NPI number 1336338094
LBN Legal business name Lieberman, Gary A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Jan 14th, 2012 - about 13 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 1336338094 NPPES
Maryland MEDICAID 790598000

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