Gottlieb, Philip D
Gottlieb, Philip D is an individual health care provider with primary practice located at 60 Kendrick St Ste 102, Needham MA 02494-2726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gottlieb, Philip D can be contacted via phone (617) 244-3322.Contact Information
Primary practice address
60 Kendrick St Ste 102
Needham MA 02494-2726
Phone: (617) 244-3322
Fax: (617) 244-1827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 9803 | New Hampshire |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 014771 | Maine |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 36020 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 9803 | New Hampshire |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 014771 | Maine |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 36020 | Massachusetts |
Profile Details
| NPI number | 1114925138 |
|---|---|
| LBN Legal business name | Gottlieb, Philip D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Feb 16th, 2021 - about 3 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 | 1114925138 | NPPES |
| Massachusetts | Other | M08983 | BLUE CROSS AND BLUE SHIEL |
| Massachusetts | MEDICAID | 0180653 | BLUE CROSS AND BLUE SHIEL |
| Massachusetts | MEDICAID | 3112961 | BLUE CROSS AND BLUE SHIEL |
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