Provider Demographics
NPI:1558122622
Name:LEIBFREID, ELIZABETH ANN (PA)
Entity Type:Individual
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First Name:ELIZABETH
Middle Name:ANN
Last Name:LEIBFREID
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Gender:F
Credentials:PA
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Mailing Address - Street 1:212 SUFFOLK RD
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-2118
Mailing Address - Country:US
Mailing Address - Phone:215-518-8083
Mailing Address - Fax:
Practice Address - Street 1:1601 HADDON AVE STE A1
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-3109
Practice Address - Country:US
Practice Address - Phone:856-757-3840
Practice Address - Fax:856-757-3519
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant