MEDICARE: DR. CARL NELSON LIEDMAN D.O.

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	207Q00000X	Family Medicine Physician	193400000X	PA
2	207Q00000X	Family Medicine Physician	OS004520L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0075139402	OTHER	PA	AMERICHOICE
2	6128979	OTHER	PA	CIGNA
3	100008	OTHER	PA	KEYSTONE MERCY
4	110159242	OTHER	PA	TRAVELORS
5	173358	OTHER	PA	BLUE SHIELD
6	108074	OTHER	PA	AETNA
7	PA10333	OTHER	PA	ELDER HEALTH
8	00422	OTHER	PA	HEALTH PARTNERS

General Provider Information

NPI Number	:	1164427910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL NELSON LIEDMAN D.O.

Provider Business Mailing Address
First Line	:	841 E HUNTING PARK AVE
Second Line	:	SUITE 110
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-4800
Country	:	US
Telephone Number	:	215-535-4494
Fax Number	:	215-535-4203

Provider Business Practice Location Address
First Line	:	841 E HUNTING PARK AVE
Second Line	:	SUITE 110
City	:	PHILADELPHIA
State	:	PA
Zip	:	19124-4800
Country	:	US
Telephone Number	:	215-535-4494
Fax Number	:	215-535-4203

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	09/19/2016

Similar Medicare Providers

1689873911 — DELAWARE VALLEY COMMUNITY HEALTH, INC.
Practice Location Address:

841 E HUNTING PARK AVE 2ND FLOOR
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 267-686-4071

1912903022 — DR. RICHARD MICHAEL BRANTZ D.O.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 110
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-535-4494
Practice Fax: 215-535-4203

1790755015 — DR. NEIL EDWARD SLOANE M.D.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 201
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 215-537-7001

1174594253 — DR. HENRY H. SU D.O.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 201
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 215-537-7001

1619922580 — BRANTZ & LIEDMAN ASSOCIATES P.C.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 110
PHILADELPHIA, PA
19124-4800

Practice Phone: 213-535-4494
Practice Fax: 215-535-4203

1467480319 — DR. SEGUNDO RAMON RODRIGUEZ D.P.M.
Practice Location Address:

841 E HUNTING PARK AVE , SUITE 201
PHILADELPHIA, PA
19124-4800

Practice Phone: 215-537-7695
Practice Fax: 215-537-7001

Directions to “ DR. CARL NELSON LIEDMAN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.