Individual
GONZALO LUIZAGA COCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 773-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D73885
MD
207RI0200X
Infectious Disease Physician
Primary
0101260301
VA
208M00000X
Hospitalist Physician
D73885
MD
Other
Enumeration date
04/02/2009
Last updated
06/19/2023
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