Individual
DR. TIFFANY JEAN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 OSTRUM ST, FOUNTAIN HILL, PA 18015-1155
(484) 526-3648
(866) 926-4988
Mailing address
701 OSTRUM ST, FOUNTAIN HILL, PA 18015-1155
(484) 526-3648
(866) 926-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT205747
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD463456
PA
Other
Enumeration date
05/14/2014
Last updated
06/03/2024
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