Individual
DR. DIEGO DE JESUS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
564 W BROAD ST, HAZLETON, PA 18201-6108
(484) 884-4500
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD040959L
PA
Other
Enumeration date
10/25/2005
Last updated
10/04/2024
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