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Individual

DR. GEORGE TENDERO GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1212 POWHATAN STREET, FREDERICKSBURG, VA 22401
(540) 371-4611
(540) 371-4611
Mailing address
1212 POWHATAN STREET, FREDERICKSBURG, VA 22401
(540) 371-4611
(540) 371-4611

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101022930
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005644704
VA
Enumeration date
05/01/2006
Last updated
12/26/2024
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