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Individual

DR. HEATHER E GOTHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 BIRNIE AVE STE 201, SPRINGFIELD, MA 01107-1121
(413) 785-4666
(413) 846-4756
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5133

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
14592
RI
207X00000X
Orthopaedic Surgery Physician
19805
NH
207X00000X
Orthopaedic Surgery Physician
Primary
283806
MA
207X00000X
Orthopaedic Surgery Physician
C10011802
DE
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
283806
MA

Other

Enumeration date
06/25/2009
Last updated
04/30/2024
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