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Individual

BRIAN ANTHONY GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2002 MEDICAL PKWY STE 320, ANNAPOLIS, MD 21401-7901
(410) 571-8733
Mailing address
1506 MCABBOTT CT, SEVERN, MD 21144-3444
(410) 551-6315

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1622
MD

Other

Enumeration date
11/14/2006
Last updated
06/18/2019
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