Isaza Gonzalez, Gabriel

Isaza Gonzalez, Gabriel is an individual health care provider with primary practice located at 333 Cottman Ave , Philadelphia PA 19111-2434. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Isaza Gonzalez, Gabriel can be contacted via phone (215) 728-2191.

Contact Information

Primary practice address
333 Cottman Ave Philadelphia PA 19111-2434
Phone: (215) 728-2191
Fax: (215) 214-3992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD471112 Pennsylvania

Profile Details

NPI number 1538510508
LBN Legal business name Isaza Gonzalez, Gabriel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2016
Last updated Sep 9th, 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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