Gottfried, Lili A
Gottfried, Lili A is an individual health care provider with primary practice located at 77 Mass Ave Medical E23-395, Cambridge MA 02139-4301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gottfried, Lili A can be contacted via phone (617) 253-2916.Contact Information
Primary practice address
77 Mass Ave Medical E23-395
Cambridge MA 02139-4301
Phone: (617) 253-2916
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 39780 | Massachusetts |
Profile Details
| NPI number | 1215902390 |
|---|---|
| LBN Legal business name | Gottfried, Lili A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215902390 | NPPES |
| Massachusetts | Other | B11587 | BLUE CROSS |
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