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Individual

CHERYL S. GOTTESMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19 STURDY ST, ATTLEBORO, MA 02703-3152
(508) 236-8370
(508) 236-8377
Mailing address
19 STURDY ST, ATTLEBORO, MA 02703-3152
(508) 236-8370
(508) 236-8377

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74963
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000028113
BMC HEALTHNET
01
0402010
UHC
01
074963
TUFTS
01
202197
RIBCHIP
05
3093808
MA
01
339
FALLON
01
60344
HPHC
01
B10054201
CIGNA
01
J11602
MABC
MA
Enumeration date
07/23/2006
Last updated
07/08/2007
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