Individual
DR. ALFREDO IGNACIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
297 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2403
(508) 994-0885
Mailing address
100 N FRONT ST, 3FL, NEW BEDFORD, MA 02740-7350
(508) 994-0885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
155325
MA
2084P0802X
Addiction Psychiatry Physician
Primary
155325
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012266
SENIOR WHOLE HEALTH
MA
01
—
1396730123
BCBS
MA
01
—
222703314
COVENTRY/FIRST HEALTH
MA
01
—
401530
TUFTS
MA
01
—
7827059
AETNA
MA
01
—
8527758
CIGNA
MA
01
—
AA144537
HPHC
MA
Enumeration date
09/19/2005
Last updated
02/15/2017
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