Liebsch, Norbert J
Liebsch, Norbert J is an individual health care provider with primary practice located at 55 Fruit St Yaw 1, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Liebsch, Norbert J can be contacted via phone (617) 724-1548.Contact Information
Primary practice address
55 Fruit St Yaw 1
Boston MA 02114-2621
Phone: (617) 724-1548
Fax: (617) 726-2098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 60408 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 60408 | Massachusetts |
Profile Details
| NPI number | 1801887948 |
|---|---|
| LBN Legal business name | Liebsch, Norbert J |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jun 4th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801887948 | NPPES |
| Massachusetts | Other | 060408 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3057208 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J09217 | TUFTS HEALTH PLAN |
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