Michele J. Gottlieb

M.D. | Pediatric Allergy-Immunology | Female

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Complete Profile:

Michele J. Gottlieb basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Michele J. Gottlieb
Credential :	M.D.
Gender :	Female

Business Address:

Michele J. Gottlieb address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	24 Newton St Southborough, MA, 01772-1215 United States
Phone Number :	508-481-5500
Fax Number :	508-481-3706

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1568488161
NPI Entity Type :	Individual
First Enrolment Date :	15 Jul, 2006
Last Updated On :	07 Jan, 2013

Medicare Participation:

Michele J. Gottlieb participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0345249173
Medicare Enrollment ID :	I20061205000502
Primary Specialty :	Allergy/immunology
Medical School :	Medical College Of Ohio
Graduation Year :	1986
Accepts Medicare?	Yes. Michele J. Gottlieb accepts medicare insurance.

Group Practice Association:

Michele J. Gottlieb is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michele J. Gottlieb is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Reliant Medical Group Inc	5597755322	537	5 Neponset St Worcester, MA - 016062714 Ph: 5085952300	Yes
Reliant Medical Group Inc	5597755322	537	24 -28 Newton St Southborough, MA - 017721215 Ph: 5084864472	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michele J. Gottlieb are as mentioned. Primary taxonomy code for Michele J. Gottlieb, M.D. is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	74250	MA

Legacy Identifiers:

Other legacy medical identifiers of Michele J. Gottlieb such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
3111873	MEDICAID	MA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	24 Newton St Southborough, MA, 01772-1215 United States
Phone Number :	508-481-5500
Fax Number :	508-481-3706

Business Location:

Patients can refer following map for directions to Michele J. Gottlieb practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.