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Individual

MS. JUDITH B. GOTTLIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-7667
Mailing address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-1000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309334
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
309334
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
309334
RN LICENSE NUMBER
CA
01
3903
NP FURNISHING NUMBER
CA
Enumeration date
09/27/2005
Last updated
09/11/2025
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