Individual
DR. MIGUEL H GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44112 RIVERPOINT DR, LEESBURG, VA 20176-8206
(703) 201-9547
Mailing address
44112 RIVERPOINT DR, LEESBURG, VA 20176-8206
(703) 201-9547
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101020252
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48600001
BC/BS NATIONAL CAPITAL AREA
DC
Enumeration date
09/29/2011
Last updated
09/29/2011
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