Individual
JOSE L GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 SOUTH JACKSON STREET, POTTSVILLE, PA 17901
(570) 621-5325
(570) 621-5325
Mailing address
420 S JACKSON ST, POTTSVILLE, PA 17901-3625
(570) 621-5325
(570) 621-5325
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD026695E
PA
Other
Enumeration date
08/31/2005
Last updated
07/16/2014
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