Gonzalez, Osvaldo M
Gonzalez, Osvaldo M is an sole proprietor health care provider with primary practice located at 5801 Allentown Rd Suite 500, Suitland MD 20746-4563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gonzalez, Osvaldo M can be contacted via phone (301) 899-7713.Contact Information
Primary practice address
5801 Allentown Rd Suite 500
Suitland MD 20746-4563
Phone: (301) 899-7713
Fax: (301) 899-9430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | D38802 | Maryland |
Profile Details
| NPI number | 1104828748 |
|---|---|
| LBN Legal business name | Gonzalez, Osvaldo M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104828748 | NPPES |
| Maryland | Other | K437EN | BLUE CROSS |
| Maryland | Other | 2543 0011 | BLUE CROSS |
| Maryland | MEDICAID | 351701200 | BLUE CROSS |
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