Michele J. Gottlieb
Pediatric Allergist
24 Newton St
Southborough
, Massachusetts 01772-1215
Michele J. Gottlieb
Pediatric Allergist
24 Newton St
Southborough
, Massachusetts 01772-1215
(508) 481-3706
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About
Features
Specialties
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Michele J. Gottlieb
- 24 Newton St
- Southborough, MA
- Zip : 01772-1215
- Fax : (508) 481-3706
- Phone : (508) 481-5500
Second Address
- Michele J. Gottlieb
- 24 Newton St
- Southborough, MA
- Zip : 01772-1215
- Fax : (508) 481-3706
- Phone : (508) 481-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0201X | Pediatric Allergist | 74250 | MA |
National Provider Identifier
| NPI | 1568488161 |
|---|---|
| Provider Name | Michele J. Gottlieb |
| First Address | Southborough, MA 01772-1215 |
| Second Address | Southborough, MA 01772-1215 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2006 |
| Last Update Date | 07/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3111873 | (05) | MA |
| D76240 | (02) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.