Individual
SCOTT V GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655-0002
(508) 334-3271
(508) 856-5911
Mailing address
53 CHOATE ST, ESSEX, MA 01929-1047
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
77725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3160556
—
MA
Enumeration date
10/21/2005
Last updated
03/12/2015
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