Individual
ANTHONY FRANCO GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 HALL CT, HAVRE DE GRACE, MD 21078-4261
(703) 371-6647
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2646
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA2646
MD LICENSE
MD
Enumeration date
05/12/2019
Last updated
11/04/2021
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