Individual
ALYSE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3500 MAIN ST STE 201, SPRINGFIELD, MA 01107-1150
(413) 794-0900
(413) 794-2996
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007634
MI
363AM0700X
Medical Physician Assistant
Primary
PA8390
MA
Other
Enumeration date
12/10/2015
Last updated
02/11/2022
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