Gottlieb, Michele J.
Gottlieb, Michele J. is an individual health care provider with primary practice located at 24 Newton St , Southborough MA 01772-1215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as her primary health care specialty. Gottlieb, Michele J. can be contacted via phone (508) 481-5500.Contact Information
Primary practice address
24 Newton St
Southborough MA 01772-1215
Phone: (508) 481-5500
Fax: (508) 481-3706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 74250 | Massachusetts |
Profile Details
| NPI number | 1568488161 |
|---|---|
| LBN Legal business name | Gottlieb, Michele J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Jan 7th, 2013 - about 12 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 | 1568488161 | NPPES |
| Massachusetts | MEDICAID | 3111873 |
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