| NPI | 1750305306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA J GOTTLIEB Podiatrist/Owner 410-761-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-05-03 |