Gonzalez-Haddad, Gerardo

Gonzalez-Haddad, Gerardo is an individual health care provider with primary practice located at 100 Century Dr , Worcester MA 01606-1244. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gonzalez-Haddad, Gerardo can be contacted via phone (508) 762-5400.

Contact Information

Primary practice address
100 Century Dr Worcester MA 01606-1244
Phone: (508) 762-5400
Fax: (508) 762-5410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 236025 Massachusetts
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 236025 Massachusetts

Profile Details

NPI number 1720168271
LBN Legal business name Gonzalez-Haddad, Gerardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 24th, 2020 - about 6 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 1720168271 NPPES
Massachusetts MEDICAID 110079917A

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