Individual
DR. RAMON GILBERTO GONZALEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, GRB 2, NEURORADIOLOGY, BOSTON, MA 02114-2696
(617) 726-8628
(617) 724-3338
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
70812
MA
2085R0202X
Diagnostic Radiology Physician
Primary
70812
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3049001
—
MA
01
—
724593
TUFTS HEALTH PLAN
MA
01
—
J08665
BCBS MA
MA
Enumeration date
12/09/2005
Last updated
09/11/2025
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