Gottlieb, Jeffrey H.

Gottlieb, Jeffrey H. is an individual health care provider with primary practice located at 28 Crescent St , Middletown CT 06457-3654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gottlieb, Jeffrey H. can be contacted via phone (860) 344-6760.

Contact Information

Primary practice address
28 Crescent St Middletown CT 06457-3654
Phone: (860) 344-6760
Fax: (860) 358-4829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 028008 Connecticut

Profile Details

NPI number 1043292980
LBN Legal business name Gottlieb, Jeffrey H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jun 15th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043292980 NPPES
Connecticut MEDICAID 11280080

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