Individual
JOSE E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9900848
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
9900848
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133WT
BCBS NC
NC
05
—
89133WT
—
NC
Enumeration date
09/23/2005
Last updated
12/07/2016
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