Individual
DR. JERRY M GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(610) 645-2000
(517) 787-2922
Mailing address
PO BOX 828962, PHILADELPHIA, PA 19182-8962
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD034367E
PA
Other
Enumeration date
05/17/2006
Last updated
09/24/2015
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