Mark Andre Goncalves
Cardiothoracic Vascular Surgeon
1855 Springhill Ave
Mobile
, Alabama 36607-2301
Mark Andre Goncalves
Cardiothoracic Vascular Surgeon
1855 Springhill Ave
Mobile
, Alabama 36607-2301
(251) 476-7254
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mark Andre Goncalves
- 1855 Springhill Ave
- Mobile, AL
- Zip : 36607-2301
- Fax : (251) 476-7254
- Phone : (251) 471-3544
Second Address
- Mark Andre Goncalves
- 1855 Springhill Ave
- Mobile, AL
- Zip : 36607-2301
- Fax : (251) 476-7254
- Phone : (251) 471-3544
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 00016419 | AL |
National Provider Identifier
| NPI | 1114925054 |
|---|---|
| Provider Name | Mark Andre Goncalves |
| First Address | Mobile, AL 36607-2301 |
| Second Address | Mobile, AL 36607-2301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2005 |
| Last Update Date | 22/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000087359 | (05) | AL |
| 510-51956 | BLUE CORSS BLUE SHIELD (01) | AL |
| E67061 | (02) |
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.