Individual
SHMUEL GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 ASHFORD RD, JACKSON, NJ 08527-1701
(347) 786-1157
Mailing address
39 ASHFORD RD, JACKSON, NJ 08527-1701
(347) 786-1157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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