Individual
MATTHEW PATRICK GOTTHOLD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 FOULK RD, WILMINGTON, DE 19803-2796
(302) 762-6222
(302) 764-6058
Mailing address
309 MARQUIS CT, MIDDLETOWN, DE 19709-6809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0004279
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000572701
—
DE
Enumeration date
09/07/2005
Last updated
07/08/2007
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