Michael Gonzalez
Internal Medicine in Easton, PA. Individual provider (NPI-1).
NPI number1982309191
StatusActive
Last updated in NPPESJun 18, 2025
Details
- NPI
- 1982309191
- Entity type
- Individual (NPI-1)
- Name
- Michael Gonzalez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2023
- Certification date
- Jun 18, 2025
- Last updated
- Jun 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MT232234 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1872 St Lukes BlvdEaston, PA 18045-5669
Phone 484-503-3073
Mailing address
1872 St Lukes BlvdEaston, PA 18045-5669
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