Individual
GABRIELLA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2857 W BROAD ST, COLUMBUS, OH 43204-2643
(614) 722-6200
(614) 355-9910
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35144552
OH
208000000X
Pediatrics Physician
Primary
V0748
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35144552
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004017
—
OH
Enumeration date
04/08/2019
Last updated
08/01/2024
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