Provider Demographics
NPI:1487843991
Name:GELMAN, LIEBE (MD)
Entity Type:Individual
Prefix:DR
First Name:LIEBE
Middle Name:
Last Name:GELMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3543 DAYLILLY WAY
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-7760
Mailing Address - Country:US
Mailing Address - Phone:215-913-6070
Mailing Address - Fax:
Practice Address - Street 1:1234 BRIDGETOWN PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-2208
Practice Address - Country:US
Practice Address - Phone:215-913-6070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-20
Last Update Date:2007-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042795L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
590734Medicare UPIN