Individual
MR. ALBERTO J GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2323 ST MATTHEWS RD, ORANGEBURG, SC 29118
(803) 534-0042
(803) 531-0676
Mailing address
2323 ST MATTHEWS RD, ORANGEBURG, SC 29118
(803) 534-0042
(803) 531-0676
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15347
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153470
—
SC
Enumeration date
07/26/2006
Last updated
04/30/2013
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