Alan Russ Gottlieb in Modesto - Emergency Medicine

Alan Russ Gottlieb - NPI 1306837521

Alan Russ Gottlieb is a Emergency Medicine in Modesto, California. Alan Russ Gottlieb practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Alan Russ Gottlieb is 1306837521. The last update date is 2008-08-11.

Alan Russ Gottlieb's current location address is 4301 Northstar Way, Modesto, California. You can contact this provider via phone number 2093422300 and fax number 2095244240. The mailing address for Alan Russ Gottlieb is 4301 Northstar Way, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Alan Russ Gottlieb
Address 4301 Northstar Way, Modesto, California
Phone Number 2093422300
Fax Number 2095244240
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1306837521
Provider Enumeration Date 2005-11-04
Last Updated Date 2008-08-11

Provider Mailing Address Detail

Address 4301 Northstar Way
City Modesto
State California (CA)
Post Code 953569262
Phone Number 2093422300
Fax Number 2095244240

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No A34546
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A345460 CA BLUE SHIELD
00A345460 CA --

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FAQs about Alan Russ Gottlieb

What is the unique 10-digit identification code assigned to Alan Russ Gottlieb by the Centers for Medicare & Medicaid Services?

The Alan Russ Gottlieb has been issued the NPI (National Provider Identifier) 1306837521, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Alan Russ Gottlieb is located?

The Alan Russ Gottlieb is situated at the following address: 4301 Northstar Way, Modesto, CA, 953569262.

What is Alan Russ Gottlieb's area of expertise and its corresponding taxonomy classification?

The Alan Russ Gottlieb's field of specialization is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Alan Russ Gottlieb receive the assignment of its 1306837521 from the Centers for Medicare & Medicaid Services?

The Alan Russ Gottlieb was issued its 1306837521 by the Centers for Medicare & Medicaid Services on 2005-11-04.

When was the information regarding Alan Russ Gottlieb, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Alan Russ Gottlieb, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-11.

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