Individual
ALFONZO H GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 242-7473
(717) 242-7478
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD024982E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010564770007
—
PA
Enumeration date
03/10/2006
Last updated
11/19/2020
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