| Tamar K Gottfried Md, Plc | |
|
1520 S Dobson Rd Suite 316 Mesa AZ 85202-4725 | |
| (480) 545-0059 | |
| (480) 632-2134 |
| Full Name | Tamar K Gottfried Md, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1520 S Dobson Rd, Mesa, Arizona |
| Authorized Official Name and Position | Veronica Cantua (OFFICE MANAGER) |
| Authorized Official Contact | 4805450059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamar K Gottfried Md, Plc 1520 S Dobson Rd Suite 316 Mesa AZ 85202-4725 Ph: (480) 545-0059 | Tamar K Gottfried Md, Plc 1520 S Dobson Rd Suite 316 Mesa AZ 85202-4725 Ph: (480) 545-0059 |
| NPI Number | 1730462235 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 7113145665 |
|---|---|
| Medicare Enrollment ID | O20140826001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730462235 | NPI | - | NPPES |
| 422650 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 26354 (Arizona) | Primary |
| Provider Name | Tamar K Gottfried |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134193873 PECOS PAC ID: 7416944970 Enrollment ID: I20040427000980 |
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