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Organization
ROSARIO GONZAGA, MD PA
Active
Organization
ROSARIO GONZAGA, MD PA
Active
Other names
Gonzaga Pediatrics and Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ROMMEL GONZAGA (CEO)
(301) 729-9475
Entity
Organization
Contact information
Practice address
957 NATIONAL HWY, LAVALE, MD 21502
(301) 729-9475
(301) 729-9474
Mailing address
957 NATIONAL HWY, LAVALE, MD 21502
(301) 729-9475
(301) 729-9474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D39811
MD
208000000X
Pediatrics Physician
Primary
D22277
MD
Other
Enumeration date
03/28/2013
Last updated
08/17/2023
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