Individual
RONALD GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
149074
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00957997
—
NY
Enumeration date
06/24/2005
Last updated
07/19/2007
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