Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELVIN R GONZAGA, MD
ActiveMELVIN R GONZAGA, MD is a Anesthesiology healthcare provider located in LAVALE, Maryland. NPI 1104842566 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · LAVALE, MD
Registration Details
- NPI Number
- 1104842566
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (19.908189456006 yrs)
- Last Updated
- Oct 2, 2013
- License
-
D22148 (MD)
Practice Information
- Address
-
957 NATIONAL HWY, STE 3ATTN: MELVIN GONZAGALAVALE, MD, 215010929Browse MD providers · Browse ZIP 21501
- Phone
- 2403627128
- Fax
- 2403627129
- Primary Specialty
-
Anesthesiology
207L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.