Gonzalez, Luis Roberto

Gonzalez, Luis Roberto is an individual health care provider with primary practice located at 21 Montauk Ave , New London CT 06320-4906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gonzalez, Luis Roberto can be contacted via phone (860) 439-6400.

Contact Information

Primary practice address
21 Montauk Ave New London CT 06320-4906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24882 Connecticut

Profile Details

NPI number 1801863220
LBN Legal business name Gonzalez, Luis Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Nov 8th, 2023 - about last year

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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