Individual
RICKI L GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
765 ROUTE 10 EAST, SUITE 203, COLLEGE PLAZA PEDIATRICS, RANDOLPH, NJ 07869-1925
(973) 659-9991
(973) 659-9632
Mailing address
765 RT 10 EAST SUITE 203, COLLEGE PLAZA PEDIATRICS, RANDOLPH, NJ 07869-1925
(973) 659-9991
(973) 659-9991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA05950700
NJ
Other
Enumeration date
01/25/2008
Last updated
05/03/2012
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