Individual
DR. MICHAEL GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 W GILBERT ST, TINTON FALLS, NJ 07701-4947
(732) 212-0060
Mailing address
3131 PRINCETON PIKE, BLDG 5 SUITE 208, LAWRENCEVILLE, NJ 08648
(609) 815-7829
(609) 815-7894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02885300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106844
—
NJ
Enumeration date
05/05/2006
Last updated
10/14/2016
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