Individual
DR. IVA GOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(508) 363-5000
Mailing address
123 SUMMER ST, WORCESTER, MA 01608-1216
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
237654
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080917A
—
MA
Enumeration date
01/17/2007
Last updated
08/31/2023
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