Gonzalez, Wanda I

Gonzalez, Wanda I is an individual health care provider with primary practice located at 151 Everett Ave Chelsea Healthcare Center, Chelsea MA 02150-1807. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gonzalez, Wanda I can be contacted via phone (617) 889-8520.

Contact Information

Primary practice address
151 Everett Ave Chelsea Healthcare Center Chelsea MA 02150-1807
Phone: (617) 889-8520
Fax: (617) 889-8571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 79774 Massachusetts

Profile Details

NPI number 1952384174
LBN Legal business name Gonzalez, Wanda I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Feb 17th, 2014 - about 10 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 1952384174 NPPES
Massachusetts Other 079774 TUFTS HEALTH PLAN
Massachusetts Other J30930 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3130886 TUFTS HEALTH PLAN

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