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Irving S Gottfried Md Pc
Specialist in Farmville, Virginia
NPI 1508055591

Irving S Gottfried Md Pc is a Specialist based in Farmville, VA. Irving S Gottfried Md Pc practices in Farmville, VA. The NPI Number for Irving S Gottfried Md Pc is 1508055591 and holds a License No. 0101039536 (Virginia).

The current practice location address for Irving S Gottfried Md Pc is 800 Oak St, Farmville, VA and can be reached out via phone at 434-392-6877 and via fax at 434-392-8809.

Location: 800 Oak St, Farmville, VA, 23901-1199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508055591
Provider Name
Irving S Gottfried Md Pc
Credential
Provider Entity Type
Organization
Address
800 Oak St, Farmville, VA, 23901-1199
Phone Number
434-392-6877
Fax Number
434-392-8809
Provider Enumeration Date
10/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6046258 05 VA
042514 01 VA ANTHEM BC/BS
1000013150 01 VA MEDICARE RAILROAD
53907 01 VA SENTARA
institution
Provider Business Practice Location Address Details
Address
800 Oak St
City
Farmville
State
Virginia
Zip
23901-1199
Phone Number
434-392-6877
Fax Number
434-392-8809
person
Provider Business Mailing Address Details
Address
800 Oak St
City
Farmville
State
Virginia
Zip
23901-1199
Phone Number
434-392-6877
Fax Number
434-392-8809
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101039536 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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