Individual
EDWARD GOTKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 WASHINGTON RD, STE 300, PITTSBURGH, PA 15228-1928
(412) 563-6151
(412) 344-3780
Mailing address
11279 PERRY HWY, STE 450, WEXFORD, PA 15090-9303
(724) 933-1100
(724) 933-1160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD053822L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00149000400008
—
PA
Enumeration date
05/27/2005
Last updated
07/08/2007
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