Individual
JERRY GOTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 DEKALB ST, NORRISTOWN, PA 19401-3403
(610) 272-1881
(610) 275-8819
Mailing address
1313 DEKALB ST, NORRISTOWN, PA 19401-3403
(610) 272-1881
(610) 275-8819
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD007482E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006467000001
—
PA
Enumeration date
08/30/2005
Last updated
03/14/2012
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