Individual
DR. CHARLES JOHN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 417-4514
Mailing address
600 W 111TH ST, SUITE 3F, NEW YORK, NY 10025-1813
(212) 417-4514
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
174714
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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