Individual
KEITH M GOTTESDIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MRL-126 EAST LINCOLN AVE., RAHWAY, NJ 07065
(732) 594-4217
Mailing address
19 ROCK HILL LN, SCARSDALE, NY 10583-1026
(732) 594-4217
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
52203
MA
Other
Enumeration date
12/14/2006
Last updated
08/28/2009
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