Individual
DR. LUIS ROBERTO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 439-6400
Mailing address
PO BOX 390, NEW LONDON, CT 06320-0390
(860) 271-4715
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
24882
CT
Other
Enumeration date
03/03/2006
Last updated
11/08/2023
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