Individual
DR. IRA J GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8030B RITCHIE HWY, PASADENA, MD 21122-1084
(410) 761-0118
(410) 761-5118
Mailing address
8030B RITCHIE HWY, PASADENA, MD 21122-1084
(410) 761-0118
(410) 761-5118
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00973
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
437198400
—
MD
Enumeration date
07/11/2005
Last updated
10/14/2024
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