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General NPI Number Information
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NPI Number | 1093821878
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Entity Type | Individual
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Provider Name | STEVEN L LIEBERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1400 VFW PARKWAY VA BOSTON HEALTHCARE SYSTEM
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City | WEST ROXBURY
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State | MA
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Zip | 02132-4927
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Country | US
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Telephone | 857-203-6438
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 LAGRANGE ST.
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3064
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Country | US
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Telephone | 617-327-6240
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 75867
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 75867
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License Number State | MA
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