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Ivan Gonzalez, MD
Student in an Organized Health Care Education/Training Program in Springfield, Pennsylvania
NPI 1578942884

Ivan Gonzalez is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Ivan Gonzalez practices in Springfield, PA and has the professional credentials of MD. The NPI Number for Ivan Gonzalez is 1578942884 and holds a License No. (Pennsylvania).

The current practice location address for Ivan Gonzalez is 1260 E Woodland Ave, Springfield, PA and can be reached out via phone at 610-690-4490.

Location: 1260 E Woodland Ave, Springfield, PA, 19178-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578942884
Provider Name
Ivan Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1260 E Woodland Ave, Springfield, PA, 19178-0001
Phone Number
610-690-4490
Fax Number
Provider Enumeration Date
05/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1260 E Woodland Ave
City
Springfield
State
Pennsylvania
Zip
19064-3969
Phone Number
610-690-4490
Fax Number
person
Provider Business Mailing Address Details
Address
1260 E Woodland Ave
City
Springfield
State
Pennsylvania
Zip
19064-3969
Phone Number
610-690-4490
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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