Individual
DR. IRVING SASS GOTTFRIED
Active
Individual
DR. IRVING SASS GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101039536
VA
207RG0100X
Gastroenterology Physician
036125223
IL
207RG0100X
Gastroenterology Physician
Primary
MD030329E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042514
ANTHEM BC/BS
VA
01
—
1000013150
MEDICARE RAILROAD
VA
01
—
253249
MAMSI/TRICARE
—
01
—
4670798
AETNA
—
01
—
53907
SENTARA
VA
05
—
6046258
—
VA
Enumeration date
09/27/2005
Last updated
10/29/2020
Update your record
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