Individual
SCOTT H. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 HIGHLAND ST, CLINTON, MA 01510-1037
(978) 368-3799
(978) 368-3877
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
74550
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110054476A
—
MA
01
—
J1462201
MEDICARE
MA
Enumeration date
01/11/2006
Last updated
11/22/2020
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