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1023039146
OTTO LIEBMANN
PROVIDENCE, RI
NPI
1023039146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: RI MD12526)
Enumeration Date
2006-07-22
Last Update Date
2020-08-31
Business Address
OTTO LIEBMANN MD
593 EDDY ST CLAVERICK 2
PROVIDENCE, RI 02903-4923
Phone number: 401-519-1604
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Mailing Address
OTTO LIEBMANN MD
125 WHIPPLE ST STE 3
PROVIDENCE, RI 02908-3258
Phone number: 401-519-0337
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