Individual
DR. STEPHEN S GOTTLIEB
Active
Individual
DR. STEPHEN S GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D36885
MD
207RI0011X
Interventional Cardiology Physician
D36885
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195000000
—
WV
05
—
034324800
—
DC
05
—
1306808894
—
DE
05
—
2292068
—
OH
05
—
294261500
—
MD
01
—
529997-01
BLUE CROSS/BLUE SHIELD
MD
05
—
5849721
—
VA
Enumeration date
04/03/2006
Last updated
11/19/2010
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