Individual
DR. AUDBERTO CESAR ANTONINI GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
277 PLEASANT ST, FALL RIVER, MA 02721-3005
(508) 676-3292
Mailing address
277 PLEASANT ST, FALL RIVER, MA 02721-3005
(508) 676-3292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01079499A
IN
207R00000X
Internal Medicine Physician
Primary
286263
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001130444
ANTHEM
IN
05
—
300008356
—
IN
Enumeration date
08/10/2012
Last updated
05/21/2021
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