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Individual

ELEANOR J GOTTESMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPA

Contact information

Practice address
2816 E 116TH ST, METROHEALTH BUCKEYE HEALTH CENTER, CLEVELAND, OH 44120-2111
(216) 957-4000
Mailing address
2816 E 116TH ST, METROHEALTH BUCKEYE HEALTH CENTER, CLEVELAND, OH 44120-2111
(216) 957-4000

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35051927
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0826888
OH
01
3034625100
BWC
OH
Enumeration date
08/04/2006
Last updated
10/30/2012
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