Gottlieb, Diane
Gottlieb, Diane is an individual health care provider with primary practice located at 2900 W Queen Ln Suite 221H, Philadelphia PA 19129-1033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gottlieb, Diane can be contacted via phone (215) 991-8532.Contact Information
Primary practice address
2900 W Queen Ln Suite 221H
Philadelphia PA 19129-1033
Phone: (215) 991-8532
Fax: (215) 843-5495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD064466L | Pennsylvania |
Profile Details
| NPI number | 1124017082 |
|---|---|
| LBN Legal business name | Gottlieb, Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | May 14th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124017082 | NPPES |
| Pennsylvania | MEDICAID | 0018303020006 |
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