Goncalves, Mark Andre

Goncalves, Mark Andre is an individual health care provider with primary practice located at 1855 Springhill Ave , Mobile AL 36607-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Goncalves, Mark Andre can be contacted via phone (251) 471-3544.

Contact Information

Primary practice address
1855 Springhill Ave Mobile AL 36607-2301
Phone: (251) 471-3544
Fax: (251) 476-7254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 00016419 Alabama

Profile Details

NPI number 1114925054
LBN Legal business name Goncalves, Mark Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Dec 22nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114925054 NPPES
Alabama Other 510-51956 BLUE CORSS BLUE SHIELD
Alabama MEDICAID 000087359 BLUE CORSS BLUE SHIELD

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