Gonzalez, Roberto

Gonzalez, Roberto is an individual health care provider with primary practice located at 1414 9Th Ave Station Medical Center, Altoona PA 16602-2415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gonzalez, Roberto can be contacted via phone (814) 946-1655.

Contact Information

Primary practice address
1414 9Th Ave Station Medical Center Altoona PA 16602-2415
Phone: (814) 946-1655
Fax: (814) 949-7616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD428424 Pennsylvania

Profile Details

NPI number 1780607028
LBN Legal business name Gonzalez, Roberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 19th, 2012 - about 13 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 1780607028 NPPES
Pennsylvania MEDICAID 1016685350002
Pennsylvania Other 368970
Pennsylvania Other 1556942

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