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
Provider Name :Dr. Marc Andrew Lieberman
Credential :M.D.
Gender :Male
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
Phone Number :774-442-2599
Fax Number :774-442-2510
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
NPI Entity Type : Individual
First Enrolment Date : 11 May, 2007
Last Updated On : 10 Nov, 2020
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 SpecialityPrimaryLicense No.State
208000000XPediatricsNoMD12930RI
208000000XPediatricsNo235614MA
2080P0204XPediatrics Pediatric Emergency MedicineYes235614MA
Legacy Identifiers:
Other legacy medical identifiers of Dr. Marc Andrew Lieberman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
000776402OtherRIRI MEDICARE
03/08/2011OtherRIBCBSRI
939025129OtherRIGROUP RI MEDICARE
110080468AMEDICAIDMA
03/10/2011OtherRINHPRI
939025129OtherRIRI MEDICARE GROUP
ML83659MEDICAIDRI
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 TypeEndpointAffiliationUseContentAddress
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
Phone Number :800-225-8885
Fax Number :508-334-1977
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. Last updated on 08 January, 2024.