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Individual
DR. MICHELE A GORTAKOWSKI
Active
Individual
DR. MICHELE A GORTAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
268474
MA
2080P0205X
Pediatric Endocrinology Physician
268474
MA
390200000X
Student in an Organized Health Care Education/Training Program
252039
MA
Other
Enumeration date
04/04/2012
Last updated
11/02/2020
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