Provider Demographics
NPI:1487628103
Name:LIFFORD, KAREN LOEB (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LOEB
Last Name:LIFFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:85 E CONCORD ST
Mailing Address - Street 2:6TH FLOOR OBGYN
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2335
Mailing Address - Country:US
Mailing Address - Phone:617-414-5185
Mailing Address - Fax:617-414-7213
Practice Address - Street 1:85 E CONCORD ST
Practice Address - Street 2:6TH FLOOR OBGYN
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2335
Practice Address - Country:US
Practice Address - Phone:617-414-5185
Practice Address - Fax:617-414-7213
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA154485207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3183661Medicaid
MA3183661Medicaid
MAA28382Medicare ID - Type Unspecified