Provider Demographics
NPI:1215978325
Name:CONE, LIBBY (MD)
Entity type:Individual
Prefix:DR
First Name:LIBBY
Middle Name:
Last Name:CONE
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 1:51 N. 3RD ST #140
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106
Mailing Address - Country:US
Mailing Address - Phone:215-829-1091
Mailing Address - Fax:215-829-1092
Practice Address - Street 1:51 N. 3RD ST #140
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106
Practice Address - Country:US
Practice Address - Phone:215-829-1091
Practice Address - Fax:215-829-1092
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54526207UN0902X, 2085R0202X
PAMD043462-L207UN0902X, 2085R0202X
NJ067095207UN0902X, 2085R0202X
RIMD66632085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1250438Medicaid
674986Medicare ID - Type Unspecified
B97847Medicare UPIN