Gottlieb, Stephen S

Gottlieb, Stephen S is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gottlieb, Stephen S can be contacted via phone (410) 328-8788.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-8788
Fax: (410) 328-1048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D36885 Maryland
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X D36885 Maryland

Profile Details

NPI number 1306808894
LBN Legal business name Gottlieb, Stephen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Nov 19th, 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 1306808894 NPPES
District of Columbia MEDICAID 034324800
District of Columbia Other 529997-01
District of Columbia MEDICAID 1306808894
District of Columbia MEDICAID 5849721
District of Columbia MEDICAID 294261500
District of Columbia MEDICAID 0195000000
District of Columbia MEDICAID 2292068

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