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Individual
DR. ARTHUR J GONSALVES
Active
Individual
DR. ARTHUR J GONSALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
79193
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060172A
—
MA
01
—
J30613
BLUE CROSS
MA
Enumeration date
11/01/2006
Last updated
08/09/2010
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