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Individual

DR. ANDREW E GOTTLIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
30 N VILLAGE AVE, EXTON, PA 19341-1211
(610) 458-7777
(610) 458-7908
Mailing address
PO BOX 795, UWCHLAND, PA 19480
(610) 458-7777
(610) 458-7908

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC004743L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00139115004
PA
01
0508527000
KEYSTONE HEALTH PLAN EAST
PA
01
5931123
AETNA PPO
PA
Enumeration date
08/31/2006
Last updated
12/01/2008
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