MEDICARE: M. BARRY LIPSON, M.D., LTD.

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	207X00000X	Orthopaedic Surgery Physician	MD008879E	PA

General Provider Information

NPI Number	:	1649451824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M. BARRY LIPSON, M.D., LTD.

Provider Business Mailing Address
First Line	:	505 WASHINGTON AVE
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-2144
Country	:	US
Telephone Number	:	215-968-6774
Fax Number	:	215-968-1976

Provider Business Practice Location Address
First Line	:	505 WASHINGTON AVE
Second Line	:
City	:	NEWTOWN
State	:	PA
Zip	:	18940-2144
Country	:	US
Telephone Number	:	215-968-6774
Fax Number	:	215-968-1976

Authorized Official
Title or Position	:	PHYSICIAN/PRESIDENT
Name	:	DR. MYRON BARRY LIPSON
Credential	:	M.D.
Telephone Number	:	215-968-6774

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	11/16/2007

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