Active NPIIndividual provider

Earl R Gonzales, MD

Surgery in Andover, Massachusetts

NPI Number1215134390
Practice location
140 Haverhill St, Andover, MA 01810-1550
Fax
978-475-4393
Last updated
July 9, 2012

Earl R Gonzales is a Surgery based in Andover, MA. Earl R Gonzales practices in Andover, MA and has the professional credentials of MD. The NPI Number for Earl R Gonzales is 1215134390 and holds a License No. 249980 (MA). The current practice location address for Earl R Gonzales is 140 Haverhill St, Andover, MA 01810-1550 and can be reached out via phone at 978-475-4202 and via fax at 978-475-4393.

Provider Profile Details

NPI Number
1215134390
Provider Name
Earl R Gonzales
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
140 Haverhill St, Andover, MA 01810-1550
Phone Number
978-475-4202
Fax Number
978-475-4393
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2007
Last Update Date
July 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Haverhill St
Andover, MA 01810-1550
Zip
01810-1550
Phone Number
978-475-4202
Fax Number
978-475-4393
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
140 Haverhill Street
Andover, MA 01810-1504
City
Andover
State
MA
Zip
01810-1504
Phone Number
978-475-4202
Fax Number
978-475-4393

License Information

License Number
249980
License State
MA
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Earl R Gonzales, MD?

The NPI number of Earl R Gonzales, MD is 1215134390. It was assigned on July 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Earl R Gonzales, MD?

Earl R Gonzales, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 249980.

Where does Earl R Gonzales, MD practice?

The practice location is 140 Haverhill St, Andover, MA 01810-1550. The office can be reached at 978-475-4202 (phone) or 978-475-4393 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215134390 directly on the NPPES registry website.

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