Organization
GONZALEZ MEDICAL OFFICES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ANTONIO GONZALEZ M.D. (PROVIDER)
(301) 933-6644
Entity
Organization
Contact information
Practice address
2311 ARCOLA AVE, SILVER SPRING, MD 20902-2826
(301) 933-6644
(301) 933-6647
Mailing address
2311 ARCOLA AVE, SILVER SPRING, MD 20902-2826
(301) 933-6644
(301) 933-6647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0056791
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185839
PTAN
MD
Enumeration date
02/20/2009
Last updated
02/15/2011
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