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Contact Information

CARLOS A GONZALEZ, MD
317 NORTH MAIN STREET
C/O CCGC
MANCHESTER, CT06042
 Phone: 860-643-2101
 Fax: 860-645-1470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CARLOS A GONZALEZ · (Male)

NPI Number 1669513909
Status Active
Credentials MD
Entity Individual
Enumeration date 02/09/2007
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 029950
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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