Organization
JOSE E GONZALEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA L DEVILBISS (BILLING MANAGER)
(410) 857-4844
Entity
Organization
Contact information
Practice address
1643 LIBERTY RD STE 106, ELDERSBURG, MD 21784-6545
(410) 795-4020
(410) 795-2733
Mailing address
1643 LIBERTY RD, SUITE 106, ELDERSBURG, MD 21784-6545
(410) 795-4020
(410) 795-2733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D30953
MD
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390341900
—
MD
01
—
C57724
UPIN
MD
Enumeration date
12/22/2016
Last updated
02/20/2026
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