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Individual
DR. MIGUEL H GONZALEZ
Active
Individual
DR. MIGUEL H GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101020252
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48600001
BC/BS NATIONAL CAPITAL AREA
DC
Enumeration date
09/29/2011
Last updated
09/29/2011
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