Individual
DR. ROY GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22 SHORE HILL RD, GLOUCESTER, MA 01930-1763
(978) 436-0992
Mailing address
22 SHORE HILL RD, GLOUCESTER, MA 01930-1763
(978) 436-0992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y35367
MASS BCBS
MA
Enumeration date
03/07/2007
Last updated
01/09/2013
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