| Andrew L. Lieberman Dmd Llc | |
|
14 S Bryn Mawr Ave Ste 200 Bryn Mawr PA 19010-3216 | |
| (610) 527-6700 | |
| Not Available |
| Full Name | Andrew L. Lieberman Dmd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14 S Bryn Mawr Ave Ste 200, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Andrew L Lieberman (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6105276700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew L. Lieberman Dmd Llc 14 S Bryn Mawr Ave Ste 200 Bryn Mawr PA 19010-3216 Ph: () - | Andrew L. Lieberman Dmd Llc 14 S Bryn Mawr Ave Ste 200 Bryn Mawr PA 19010-3216 Ph: (610) 527-6700 |
| NPI Number | 1386213494 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 08/19/2021 |
| Medicare PECOS PAC ID | 3577960582 |
|---|---|
| Medicare Enrollment ID | O20210917001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386213494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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