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NPI Code Detail

MEDICARE: DR. ANSON LIU M.D.

MEDICARE:  DR. ANSON  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
12084P0804XChild & Adolescent Psychiatry PhysicianD75850MD
22084P0800XPsychiatry PhysicianD75850MD

General Provider Information

NPI Number : 1144529488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANSON LIU M.D.
Provider Business Mailing Address
First Line : 828 DULANEY VALLEY RD STE 14
Second Line :
City : TOWSON
State : MD
Zip : 21204-2822
Country : US
Telephone Number : 210-373-3770
Fax Number :
Provider Business Practice Location Address
First Line : 5022 CAMPBELL BLVD STE L-M
Second Line :
City : NOTTINGHAM
State : MD
Zip : 21236-4969
Country : US
Telephone Number : 443-442-1568
Fax Number : 443-442-1569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2011
Last Update Date : 03/17/2018

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Directions to “ DR. ANSON LIU M.D.” Practice Location

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