Individual
SCOTT GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7298
(203) 355-4842
Mailing address
30 SHELBURNE RD, STAMFORD, CT 06902-3628
(203) 276-7298
(203) 355-4842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041558
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010041558CT01
ANTHEM BC/BS
CT
01
—
041558
EMPIRE BC/BS
CT
01
—
2V4161
HEALTH NET
CT
01
—
3432398
AETNA - HMO
CT
01
—
4129498
CONNECTICARE
CT
01
—
4630381
AETNA - PPO
CT
01
—
P00209686
RAILROAD MEDICARE
CT
01
—
P3297973
OXFORD HEALTH PLAN
CT
Enumeration date
08/04/2006
Last updated
10/10/2007
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