Individual
DR. KARYLL DE JESUS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, MAINE MEDICAL CENTER, PORTLAND, ME 04102
(305) 318-4228
Mailing address
22 BRAMHALL ST, MAINE MEDICAL CENTER, PORTLAND, ME 04102-3134
(305) 318-4228
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16271
NH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DR.0058491
CO
Other
Enumeration date
05/20/2011
Last updated
06/08/2018
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