MEDICARE: XIN LIU M.D.

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	207L00000X	Anesthesiology Physician	MD433848	PA
2	207L00000X	Anesthesiology Physician	C1-0009015	DE
3	208D00000X	General Practice Physician	C1-0024055	DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00847920	OTHER	DE	RAILROAD MEDICARE
4	P00740153	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44030	OTHER	PA	ABA CERTIFICATE #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518129154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIN LIU M.D.

Provider Business Mailing Address
First Line	:	414 LAUREL CREEK BLVD
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-3968
Country	:	US
Telephone Number	:	302-317-1531
Fax Number	:	302-291-4986

Provider Business Practice Location Address
First Line	:	2400 PHILADELPHIA PIKE STE A
Second Line	:
City	:	CLAYMONT
State	:	DE
Zip	:	19703-2431
Country	:	US
Telephone Number	:	302-317-1531
Fax Number	:	302-291-4986

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

Provider Enumeration Date	:	06/25/2008
Last Update Date	:	03/18/2025

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Directions to “ XIN LIU M.D.” Practice Location

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