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Contact Information

ROSARIO GONZAGA, MD PA
957 NATIONAL HWY
LA VALE, MD21502
 Phone: 301-729-9475
 Fax: 301-729-9474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROSARIO GONZAGA, MD PA

NPI Number 1356684302
LBN Legal business name ROSARIO GONZAGA, MD PA
Authorized official ROSARIO GONZAGA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2013
Last updated 03/24/2014 - About 6 years ago
Identifiers
MD License # D22277
MD License # D39811
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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