Individual
DANIEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(626) 560-3697
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
260270
MA
Other
Enumeration date
04/02/2014
Last updated
07/23/2014
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