Dr. Marc Andrew Lieberman
M.D. | Pediatric Emergency Medicine | Male
Dr. Marc Andrew Lieberman, M.D. is a Worcester, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Marc Andrew Lieberman is
55 Lake Ave N, Worcester, Massachusetts - 01655-0002. He can be contacted on phone at
774-442-2599 and fax number 774-442-2510.
Dr. Marc Andrew Lieberman is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Marc Andrew Lieberman is
1366657348 which was assigned by NPPES on 11 May, 2007 and it was last updated on 10 Nov, 2020.
Dr. Marc Andrew Lieberman license number is
235614 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Massachusetts.
Dr. Marc Andrew Lieberman has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Marc Andrew Lieberman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Marc Andrew Lieberman |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Marc Andrew Lieberman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Lake Ave N
Worcester, MA, 01655-0002
United States |
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| Phone Number : | 774-442-2599 |
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| Fax Number : | 774-442-2510 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366657348 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 May, 2007 |
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| Last Updated On : | 10 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marc Andrew Lieberman are as mentioned. Primary taxonomy code for Dr. Marc Andrew Lieberman, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD12930 | RI |
| 208000000X | Pediatrics | No | 235614 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 235614 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Marc Andrew Lieberman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000776402 | Other | RI | RI MEDICARE |
| 03/08/2011 | Other | RI | BCBSRI |
| 939025129 | Other | RI | GROUP RI MEDICARE |
| 110080468A | MEDICAID | MA | |
| 03/10/2011 | Other | RI | NHPRI |
| 939025129 | Other | RI | RI MEDICARE GROUP |
| ML83659 | MEDICAID | RI | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | mlieberman23130@UmassMemorial.direct-ci.com
| No affiliation |
|
| 55 LAKE AVE N,
WORCESTER, MA, 01655-0002
United States |
FHIR
(FHIR URL) | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| No affiliation |
|
| 55 LAKE AVE N,
WORCESTER, MA, 01655-0002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 415348
Boston, MA, 02241-5348
United States |
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| Phone Number : | 800-225-8885 |
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| Fax Number : | 508-334-1977 |
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Business Location:
Patients can refer following map for directions to
Dr. Marc Andrew Lieberman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.