Individual
BARUCH GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12 CHARMING WAY, LAKEWOOD, NJ 08701-5450
(718) 781-4703
Mailing address
12 CHARMING WAY, LAKEWOOD, NJ 08701-5450
(718) 781-4703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01763200
NJ
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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