Individual
JEROME GOTTLIEB
Active
Individual
JEROME GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD032172E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405053
HIGHMARK BLUE SHIELD
PA
01
—
001518983
CBHNP
PA
05
—
001518983
—
PA
01
—
1150002
AETNA
PA
01
—
1577264
GATEWAY
PA
01
—
246547000
MAGELLAN
PA
01
—
3550126000
INDEPENDENCE BLUE CROSS
PA
01
—
50055865
CAPITAL BLUE CROSS
PA
01
—
P00003237
RAILROAD MEDICARE
PA
Enumeration date
06/23/2006
Last updated
10/07/2009
Update your record
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