Alexis Gonzales CRNA

NPI 1720210842 - Anesthesiologist Assistant - 367H00000X

NPI Details
NPI 1720210842
Gender Male
Enumeration Date 08/24/2009
Last Updated 03/07/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
2301 S BROAD ST
1ST FLOOR
PHILADELPHIA PA, 19148-3542, US
Phone (215) 923-9323
Fax (215) 952-1246
Business Location
2301 S BROAD ST
1ST FLOOR
PHILADELPHIA PA, 19148-3542, US
Phone
Fax
Toxanomy
Taxonomy Code 367H00000X
License State New Jersey
License Number 26NR13112500
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According to our database, Mr. Alexis Gonzales CRNA NPI is 1720210842, taxonomy code is 367H00000X and license number is 26NR13112500, license state is located at New Jersey. Alexis Gonzales CRNA physically located at 2301 S Broad St, Philadelphia PA, 19148-3542. NPI Number Alexis Gonzales CRNA has the Individual type.

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1720210842 NPI number is provided on an as is basis without warranty of any kind. 1720210842 is maintained by the National Plan & Provider Enumeration System. The contents of Alexis Gonzales CRNA are for informational purposes only.