Individual
LOUIS D. GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 CENTRE ST, MANAGED CARE, BROCKTON, MA 02302-3308
(508) 941-7065
(508) 941-6373
Mailing address
680 CENTRE ST, MANAGED CARE, BROCKTON, MA 02302-3308
(508) 941-7065
(508) 941-6373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226335
MA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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