Individual
DR. WANDA I GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
151 EVERETT AVE, CHELSEA HEALTHCARE CENTER, CHELSEA, MA 02150-1807
(617) 889-8520
(617) 889-8571
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 889-8520
(617) 889-8571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
79774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079774
TUFTS HEALTH PLAN
MA
05
—
3130886
—
MA
01
—
J30930
BCBS
MA
Enumeration date
11/22/2005
Last updated
02/17/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us