Individual
MAX W GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1910 SASSAFRAS ST, BEHAVIORAL HEALTH UNIT, ERIE, PA 16502-2716
(814) 452-5490
(814) 452-7610
Mailing address
1910 SASSAFRAS ST, BEHAVIORAL HEALTH UNIT, ERIE, PA 16502-2716
(814) 452-5490
(814) 452-7610
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OS008331L
PA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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