Individual
DR. ALBERTO LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
500 BLUE HILLS AVE, HARTFORD, CT 06112-1500
(860) 714-4000
Mailing address
675 TOWER AVE STE 301, HARTFORD, CT 06112-1274
(860) 714-2338
(860) 714-8591
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
052454
CT
2084P0802X
Addiction Psychiatry Physician
Primary
52454
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2011
Last updated
09/10/2018
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