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Individual

DR. ROBERT GONZALEZ

Active
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Individual

DR. ROBERT GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
M7220
TX
2084P0800X
Psychiatry Physician
Primary
MD463082
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103449986
PA
01
620740
MEDICARE
PA
Enumeration date
01/16/2009
Last updated
04/18/2018
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