David Gonzalez, DO
Internal Medicine in Philadelphia, PA. Individual provider (NPI-1).
NPI number1164059697
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1164059697
- Entity type
- Individual (NPI-1)
- Name
- David Gonzalez
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2020
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OS023981 | PA | Yes |
Practice location
3401 N Broad StPhiladelphia, PA 19140-5103
Phone 215-707-1622
Mailing address
3500 N Broad StPhiladelphia, PA 19140-4106
Other practice locations
133 W Hunting Park Ave
Philadelphia, PA 19140-2717
Philadelphia, PA 19140-2717
Phone 215-324-0600
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