Provider Demographics
NPI:1891945341
Name:LIEB, JOCELYN ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:ANN
Last Name:LIEB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:156 RAMAPO VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-1199
Mailing Address - Country:US
Mailing Address - Phone:201-500-7525
Mailing Address - Fax:201-500-7527
Practice Address - Street 1:500 N FRANKLIN TPKE STE 318
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1160
Practice Address - Country:US
Practice Address - Phone:201-500-7525
Practice Address - Fax:201-500-7527
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY241539207N00000X
NJ25MA08780100207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology