Organization
VASECTOMY CENTER EASTSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E GOTTESMAN MD (PHYSICIAN)
(425) 394-0773
Entity
Organization
Contact information
Practice address
2005 NW SAMMAMISH RD, ISSAQUAH, WA 98027-5364
(425) 394-0773
(425) 394-0757
Mailing address
PO BOX 94588, SEATTLE, WA 98124-6888
(206) 394-0773
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7132301
—
WA
Enumeration date
12/20/2006
Last updated
08/22/2020
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