Gonzalez, Mario D

Gonzalez, Mario D is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Gonzalez, Mario D can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Phone: (800) 243-1455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD429520 Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD429520 Pennsylvania

Profile Details

NPI number 1841204021
LBN Legal business name Gonzalez, Mario D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 22nd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841204021 NPPES
Pennsylvania MEDICAID 1017453490001

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