Individual
JON W GONELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7600 CARROLL AVENUE, WASHINGTON ADVENTIST HOSPITAL, TAKOMA PARK, MD 20912
(301) 891-5070
(301) 891-5132
Mailing address
1300 PICCARD DRIVE, SUITE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002353
MD
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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