Individual
DR. OSVALDO M GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 ALLENTOWN RD, SUITE 500, SUITLAND, MD 20746-4563
(301) 899-7713
(301) 899-9430
Mailing address
5801 ALLENTOWN RD, SUITE 500, SUITLAND, MD 20746-4563
(301) 899-7713
(301) 943-9321
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D38802
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2543 0011
BLUE CROSS
DC
05
—
351701200
—
MD
01
—
K437EN
BLUE CROSS
MD
Enumeration date
08/12/2005
Last updated
07/19/2007
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