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Organization

LILAH C GONZALEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LILAH C GONZALEZ M.D. (OWNER)
(410) 641-2696
Entity
Organization

Contact information

Practice address
314 FRANKLIN AVE, SUITE 104, BERLIN, MD 21811-1215
(410) 641-2696
Mailing address
314 FRANKLIN AVE, SUITE 104, BERLIN, MD 21811-1215
(410) 641-2696

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary

Other

Enumeration date
07/25/2007
Last updated
10/23/2007
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