Individual provider · Type 1 NPI

Marc Andrew Lieberman, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Worcester, MA

NPI number 1366657348 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Fax (774) 442-2510

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X235614 (MA)
Pediatrics Physician 208000000XMD12930 (RI)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X235614 (MA)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1366657348

Marc Andrew Lieberman, MD's National Provider Identifier is 1366657348, issued on May 11, 2007. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Worcester, MA. The record was last updated on Nov 10, 2020.