Individual
DR. DANIELLE GOTTLIEB SEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH MS
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-7337
(901) 287-4646
Mailing address
850 POPLAR AVE, MEMPHIS, TN 38105-4607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
226033
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
300440
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
55447
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D89072
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226033
MASSACHUSETTS LICENSE
MA
01
—
MG0597508A
MA CONTROLLED SUBSTANCE
MA
Enumeration date
11/02/2005
Last updated
01/28/2025
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