Jose E Gonzalez, Md Pa

LBN: Jose E Gonzalez, Md Pa
Jose E Gonzalez, Md Pa is an health care organization with primary practice located at 1643 Liberty Rd Suite 106, Eldersburg MD 21784-6544. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Jose E Gonzalez, Md Pa can be contacted via phone (410) 795-4020, or through Gonzalez, Jose E via phone (410) 795-4020.

Contact Information

Primary practice address
1643 Liberty Rd Suite 106 Eldersburg MD 21784-6544
Phone: (410) 795-4020
Fax: (410) 795-2733
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Jose E Doctor of Medicine (MD)
Phone: (410) 795-4020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D30953 Maryland

Profile Details

NPI number 1780129023
LBN Legal business name Jose E Gonzalez, Md Pa
DBA Doing business as
Authorized official Gonzalez, Jose E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2016
Last updated Dec 22nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780129023 NPPES
Maryland MEDICAID 390341900
Maryland Other C57724

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