Boris Libster in Haddon Heights - Specialist

Boris Libster - NPI 1659369122

Boris Libster is a Specialist in Haddon Heights, New Jersey. Boris Libster practices all healthcare services and medical treatments related to Specialist. The NPI Number for Boris Libster is 1659369122. The last update date is 2017-05-26.

Boris Libster's current location address is 217 White Horse Pike, Haddon Heights, New Jersey. You can contact this provider via phone number 8565471661 and fax number 8565476117. The mailing address for Boris Libster is 217 White Horse Pike, Haddon Heights, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Boris Libster
Address 217 White Horse Pike, Haddon Heights, New Jersey
Phone Number 8565471661
Fax Number 8565476117
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1659369122
Provider Enumeration Date 2005-10-10
Last Updated Date 2017-05-26

Provider Mailing Address Detail

Address 217 White Horse Pike
City Haddon Heights
State New Jersey (NJ)
Post Code 80351703
Phone Number 8565471661
Fax Number 8565476117

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 25MB04369000
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
109180803 NJ --

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FAQs about Boris Libster

What is the Boris Libster's 1659369122?

The Boris Libster's NPI (National Provider Identifier) Number is 1659369122. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Boris Libster is physically located?

The Boris Libster is physically situated at the following address: 217 White Horse Pike, Haddon Heights, NJ, 80351703.

What is the area of specialization for Boris Libster, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Boris Libster is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1659369122 to Boris Libster?

The Centers for Medicare & Medicaid Services assigned the 1659369122 to Boris Libster on 2005-10-10.

As of what date was the information regarding Boris Libster, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Boris Libster, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-05-26.

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