# JOSEPH R GOTTESMAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588610646
- **Authorized official:** MR. PHILIP HAMILTON (MANAGER)
- **Authorized official phone:** (602) 330-6886

## Contact information

- **Practice address:** 2023 W GUADALUPE RD, STE 11-181, MESA, AZ 85202-7371
- **Practice address phone:** (602) 384-4170
- **Practice address fax:** (602) 808-9778
- **Mailing address:** 2023 W GUADALUPE RD, STE 11-181, MESA, AZ 85202-7371
- **Mailing address phone:** (602) 384-4170
- **Mailing address fax:** (602) 808-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 02/05/2008