Healthcare Provider Details

I. General information

NPI: 1134068604
Provider Name (Legal Business Name): LIZA MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 UNIVERSITY RD STE 500
CAMBRIDGE MA
02138-5815
US

IV. Provider business mailing address

20 UNIVERSITY RD STE 500
CAMBRIDGE MA
02138-5815
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-8252
  • Fax: 617-812-5928
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DUNCAN REECE
Title or Position: OPERATIONS
Credential:
Phone: 617-297-7830