Individual
DR. JASON GOTLIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
875 BLAKE WILBUR DR RM 2327B, PALO ALTO, CA 94304-2205
(650) 736-1253
(650) 724-5203
Mailing address
875 BLAKE WILBUR DRIVE, ROOM 2327B, STANFORD, CA 94305-5821
(650) 736-1253
(650) 724-5203
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A060833
CA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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