Individual
DR. ROBERT GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-4734
(717) 782-4727
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
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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