Jose E Gonzalez, Md Pa
Pediatrics
Jose E Gonzalez, Md Pa is a Eldersburg, Maryland based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1643 Liberty Rd, Suite 106, Eldersburg, Maryland - 21784-6544. They can be contacted on phone at
410-795-4020 and fax number 410-795-2733.
NPI number (Unique professional ID) for Jose E Gonzalez, Md Pa is
1780129023 which was assigned by NPPES on 22 Dec, 2016 and it was last updated on 22 Dec, 2016.
Jose E Gonzalez, Md Pa license number is
D30953 for Pediatrics (208000000X) in Maryland.
Jose E Gonzalez, Md Pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jose E Gonzalez, Md Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jose E Gonzalez, Md Pa |
|---|
Business Address:
Jose E Gonzalez, Md Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1643 Liberty Rd, Suite 106
Eldersburg, MD, 21784-6544
United States |
|---|
| Phone Number : | 410-795-4020 |
|---|
| Fax Number : | 410-795-2733 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780129023 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 22 Dec, 2016 |
|---|
| Last Updated On : | 22 Dec, 2016 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Josee Gonzalez |
|---|
| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 410-795-4020 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jose E Gonzalez, Md Pa are as mentioned. Primary taxonomy code for Jose E Gonzalez, Md Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | D30953 | MD |
Legacy Identifiers:
Other legacy medical identifiers of Jose E Gonzalez, Md Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| C57724 | Other | MD | UPIN |
| 390341900 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1643 Liberty Rd, Suite 106
Eldersburg, MD, 21784-6544
United States |
|---|
| Phone Number : | 410-795-4020 |
|---|
| Fax Number : | 410-795-2733 |
|---|
Business Location:
Patients can refer following map for directions to
Jose E Gonzalez, Md Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.