Lieberthal, Jason Glen
Lieberthal, Jason Glen is an sole proprietor health care provider with primary practice located at 330 Mount Auburn St South 4, Room 454, Cambridge MA 02138-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Lieberthal, Jason Glen can be contacted via phone (617) 499-5112.Contact Information
Primary practice address
330 Mount Auburn St South 4, Room 454
Cambridge MA 02138-5502
Phone: (617) 499-5112
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 250216 | Massachusetts |
Profile Details
NPI number | 1518192947 |
---|---|
LBN Legal business name | Lieberthal, Jason Glen |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 29th, 2009 |
Last updated | Jun 22nd, 2015 - about 10 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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