Provider Demographics
NPI:1912261009
Name:FARBER, LIORA JUDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:LIORA
Middle Name:JUDITH
Last Name:FARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:705 ANDERSON AVENUE
Mailing Address - Street 2:705 B ANDERSON AVENUE
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010
Mailing Address - Country:US
Mailing Address - Phone:201-861-1851
Mailing Address - Fax:201-861-1853
Practice Address - Street 1:1150 HAMMOND DR STE 310
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-7500
Practice Address - Country:US
Practice Address - Phone:678-802-5780
Practice Address - Fax:770-557-3568
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09750800207R00000X
RICLP02594207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0537560Medicaid