National Provider Identifier
Niels Ulrich Gothgen, M.D.
Niels Ulrich Gothgen, M.D. is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician in Buffalo, NY and a listed phone number of (716) 849-8750.
Profile Overview
- NPI
- 1508952573
- Provider Type
- Individual
- Primary Specialty
- Critical Care Medicine (Internal Medicine) Physician
- Enumeration Date
- October 05, 2006
- Last Updated
- September 21, 2021
Practice Location
- 50 Lakefront Blvd
- Suite 130
- Buffalo, NY 14202-4345
Phone: (716) 849-8750
Specialties
- Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
- Anesthesiology Physician (207L00000X)
- Critical Care Medicine (Anesthesiology) Physician (207LC0200X)
Full Record
- NPI
- 1508952573
- Entity Type
- Individual
- Last Name
- Gothgen
- First Name
- Niels
- Middle Name
- Ulrich
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 50 Lakefront Blvd
- Mailing Address Line 2
- Suite 130
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4345
- Mailing Country
- US
- Mailing Phone
- (716) 849-8750
- Mailing Fax
- (716) 849-8757
- Practice Street Address
- 50 Lakefront Blvd
- Practice Address Line 2
- Suite 130
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-4345
- Practice Country
- US
- Practice Phone
- (716) 849-8750
- Practice Fax
- (716) 849-8757
- Enumeration Date
- October 05, 2006
- Last Updated
- September 21, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Critical Care Medicine (Internal Medicine) Physician (207RC0200X), Anesthesiology Physician (207L00000X), Critical Care Medicine (Anesthesiology) Physician (207LC0200X)