MEDICARE: DR. LIORA JUDITH FARBER 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
1	207R00000X	Internal Medicine Physician	25MA09750800	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912261009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIORA JUDITH FARBER M.D.

Provider Business Mailing Address
First Line	:	705 ANDERSON AVENUE
Second Line	:	705 B ANDERSON AVENUE
City	:	CLIFFSIDE PARK
State	:	NJ
Zip	:	07010
Country	:	US
Telephone Number	:	201-861-1851
Fax Number	:	201-861-1853

Provider Business Practice Location Address
First Line	:	1150 HAMMOND DR STE 310
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-7500
Country	:	US
Telephone Number	:	678-802-5780
Fax Number	:	770-557-3568

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

Provider Enumeration Date	:	07/03/2012
Last Update Date	:	05/10/2024

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