Individual
DR. PHILIP D GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 KENDRICK ST, STE 102, NEEDHAM, MA 02494-2726
(617) 244-3322
(617) 244-1827
Mailing address
60 KENDRICK ST, STE 102, NEEDHAM, MA 02494-2726
(617) 244-3322
(617) 244-1827
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
014771
ME
2084P0800X
Psychiatry Physician
Primary
36020
MA
2084P0800X
Psychiatry Physician
9803
NH
2084P0805X
Geriatric Psychiatry Physician
014771
ME
2084P0805X
Geriatric Psychiatry Physician
36020
MA
2084P0805X
Geriatric Psychiatry Physician
9803
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180653
—
MA
05
—
3112961
—
NH
01
—
M08983
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
07/13/2005
Last updated
02/16/2021
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