Otto Liebmann MD

NPI 1023039146 - Emergency Medicine - 207P00000X

NPI Details
NPI 1023039146
Gender Male
Enumeration Date 07/22/2006
Last Updated 02/04/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
593 EDDY ST
CLAVERICK 2
PROVIDENCE RI, 02903-4923, US
Phone (401) 519-1604
Fax (401) 272-0538
Business Location
PO BOX 9484
PROVIDENCE RI, 02940-9484, US
Phone (401) 854-2500
Fax (401) 854-2519
Toxanomy
Taxonomy Code 207P00000X
License State Rhode Island
License Number MD12526
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According to our database, Otto Liebmann MD NPI is 1023039146, taxonomy code is 207P00000X and license number is MD12526, license state is located at Rhode Island. Otto Liebmann MD physically located at 593 Eddy St, Providence RI, 02903-4923. NPI Number Otto Liebmann MD has the Individual type.

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1023039146 NPI number is provided on an as is basis without warranty of any kind. 1023039146 is maintained by the National Plan & Provider Enumeration System. The contents of Otto Liebmann MD are for informational purposes only.