Individual
DR. GONZALO OLIVARES MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
(212) 844-1712
Mailing address
10 NATHAN D PERLMAN PL, NEW YORK, NY 10003-3851
(212) 844-1712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
279425
NY
Other
Enumeration date
06/11/2012
Last updated
05/19/2015
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