MEDICARE: DR. MAGDALENA KATARZYNA LIEBE 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	207Q00000X	Family Medicine Physician	MD431926	PA
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	MD431926	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	098042	OTHER	PA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	098042ZD7N	OTHER	PA	PTAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588622427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAGDALENA KATARZYNA LIEBE MD

Provider Business Mailing Address
First Line	:	6998 CRIDER RD
Second Line	:
City	:	MARS
State	:	PA
Zip	:	16046-2390
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6998 CRIDER RD
Second Line	:
City	:	MARS
State	:	PA
Zip	:	16046-2390
Country	:	US
Telephone Number	:	724-778-3627
Fax Number	:

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	07/06/2016

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Directions to “ DR. MAGDALENA KATARZYNA LIEBE MD” Practice Location

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