Individual
ALEXANDROS N VGONTZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1214 RESEARCH BLVD STE 1159, HUMMELSTOWN, PA 17036-9153
(717) 531-8520
(717) 531-0678
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD040248L
PA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
MD040248L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011741670001
—
PA
Enumeration date
05/17/2006
Last updated
01/08/2018
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