Gottlieb, Richard Morris

Gottlieb, Richard Morris is an sole proprietor health care provider with primary practice located at 57 Dedham Ave , Needham MA 02492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gottlieb, Richard Morris can be contacted via phone (781) 449-1847.

Contact Information

Primary practice address
57 Dedham Ave Needham MA 02492
Fax: (781) 247-7447
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33699 Massachusetts

Profile Details

NPI number 1558540179
LBN Legal business name Gottlieb, Richard Morris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558540179 NPPES
Massachusetts MEDICAID 9773894

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