Mariana R Gonzalez
Geriatric Medicine
3900 Woodland Ave
Philadelphia
, Pennsylvania 19104-4551
Mariana R Gonzalez
Geriatric Medicine
3900 Woodland Ave
Philadelphia
, Pennsylvania 19104-4551
(202) 382-2579
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mariana R Gonzalez
- Po Box 3007
- Lebanon, PA
- Zip : 17042-3007
- Phone : (202) 382-2579
Second Address
- Mariana R Gonzalez
- 3900 Woodland Ave
- Philadelphia, PA
- Zip : 19104-4551
- Phone : (717) 277-6565
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | MD467433 | PA |
National Provider Identifier
| NPI | 1104274703 |
|---|---|
| Provider Name | Mariana R Gonzalez |
| First Address | Lebanon, PA 17042-3007 |
| Second Address | Philadelphia, PA 19104-4551 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2016 |
| Last Update Date | 23/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.