Gonzalez, Carlos

Gonzalez, Carlos is an individual health care provider with primary practice located at Broad And Vine Sts Ms 310, Phila PA 19102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Gonzalez, Carlos can be contacted via phone (215) 762-4312.

Contact Information

Primary practice address
Broad And Vine Sts Ms 310 Phila PA 19102
Phone: (215) 762-4312
Fax: (215) 762-8656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD030810L Pennsylvania

Profile Details

NPI number 1568453082
LBN Legal business name Gonzalez, Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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