MEDICARE: DR. HAIM LIOZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD043280L	PA

General Provider Information

NPI Number	:	1093952061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAIM LIOZ MD

Provider Business Mailing Address
First Line	:	6901 OLD YORK RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-2234
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 OLD YORK RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-2234
Country	:	US
Telephone Number	:	267-357-9425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2009
Last Update Date	:	01/13/2009

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Directions to “ DR. HAIM LIOZ MD” Practice Location

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