Individual
MRS. AURORA GONZAGA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195 WADSWORTH RD, WADSWORTH, OH 44281-9504
(330) 334-2863
Mailing address
PO BOX 367, MOGADORE, OH 44260-0367
(330) 628-1325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35032393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137248
—
OH
Enumeration date
08/23/2005
Last updated
07/08/2007
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