Individual
DR. LUIS FERNANDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ORLEANS ST # 6115E, BALTIMORE, MD 21287-0010
(410) 955-2438
(443) 287-0339
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
25MA08778100
NJ
207T00000X
Neurological Surgery Physician
Primary
D91181
MD
207T00000X
Neurological Surgery Physician
MD437666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205613
—
NJ
05
—
102366468
—
PA
Enumeration date
11/07/2007
Last updated
07/07/2021
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