Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 56208 | MA |
NPI | 1003884529 |
---|---|
Provider Name | David N Gottsegen |
First Address | Holyoke, MA 01040-2767 |
Second Address | Holyoke, MA 01040-2767 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 02/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3007537 | (05) | MA |
D88475 | (02) | MA |