Gonzalez, Carlos Alfonso

Gonzalez, Carlos Alfonso is an sole proprietor health care provider with primary practice located at 317 North Main Street C/O Ccgc, Manchester CT 06042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Gonzalez, Carlos Alfonso can be contacted via phone (860) 643-2101.

Contact Information

Primary practice address
317 North Main Street C/O Ccgc Manchester CT 06042
Phone: (860) 643-2101
Fax: (860) 645-1470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 029950 Connecticut
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 029950 Connecticut

Profile Details

NPI number 1669513909
LBN Legal business name Gonzalez, Carlos Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Oct 12th, 2012 - about 14 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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