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Individual

SAM C GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
286621
MA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
286621
MA

Other

Enumeration date
03/26/2018
Last updated
04/10/2024
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