Individual
MARIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8000
Mailing address
PO BOX 64522, BALTIMORE, MD 21264-4522
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0020164
MD
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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