Individual
ANNMARIE GONZALEZ MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
593 EDDY ST, APC 6TH FLR, PROVIDENCE, RI 02903-4923
(401) 793-9166
(401) 444-2788
Mailing address
593 EDDY ST, APC 6TH FLR, PROVIDENCE, RI 02903-4923
(401) 793-9166
(401) 444-2788
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD12851
RI
207LP2900X
Pain Medicine (Anesthesiology) Physician
042-0010288
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
12851
RI
208VP0000X
Pain Medicine Physician
MD12851
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021864326
—
NY
05
—
1008042
—
VT
01
—
MD12851
MEDICAL LICENSE
RI
Enumeration date
06/22/2006
Last updated
02/11/2013
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