Provider Demographics
NPI:1871532069
Name:LIBERMAN, JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:LIBERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:106 IRVING ST NW
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2927
Mailing Address - Country:US
Mailing Address - Phone:202-829-3726
Mailing Address - Fax:202-882-1468
Practice Address - Street 1:106 IRVING ST NW
Practice Address - Street 2:SUITE 2600
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2927
Practice Address - Country:US
Practice Address - Phone:202-829-3726
Practice Address - Fax:202-882-1468
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD104412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0469899OtherCIGNA PPO
DC2514596OtherAETNA HMO
DC0002OtherCARE FIRST DC
DC022781500Medicaid
DC496497OtherNCPPO
DC0004081296OtherAETNA NON HMO
DC2102339OtherMAMSI
DC022781500Medicaid
DC2102339OtherMAMSI