Individual
CHERYL S. GOTTESMAN
Active
Individual
CHERYL S. GOTTESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
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