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Individual

DR. CLAUDIA MARIE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001085
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
308237
UPMC PROVIDER ID #
PA
01
410040111
RR MEDICARE PROVIDER #
PA
01
511511
AETNA PROVIDER ID #
PA
01
G053228
HIGHMARK ID #
PA
01
OEG001085
STATE LICENSE
PA
01
U33411
UPIN
PA
Enumeration date
05/12/2006
Last updated
04/29/2024
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