Organization
ROSARIO GONZAGA, MD PA
Active
Other names
Gonzaga Pediatrics and Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ROMMEL GONZAGA (CEO)
(301) 729-9475
Entity
Organization
Contact information
Practice address
957 NATIONAL HWY, LAVALE, MD 21502
(301) 729-9475
(301) 729-9474
Mailing address
957 NATIONAL HWY, LAVALE, MD 21502
(301) 729-9475
(301) 729-9474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D39811
MD
208000000X
Pediatrics Physician
Primary
D22277
MD
Other
Enumeration date
03/28/2013
Last updated
08/17/2023
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