MICHAEL J B GONZALEZ MD

COASTAL MEDICAL INC

Dr MICHAEL J B GONZALEZ MD is a male medical professional, specializing in Family Medicine. He graduated in 1991.

Contact

COASTAL MEDICAL INC

360 KINGSTOWN RD
NARRAGANSETT
RI
028823239

Tel: 4017836940

MICHAEL J B GONZALEZ MD Information

Npi 1265433908
Pac Id 5799737847
Professional Enrollment Id I20050216000801
Last Name GONZALEZ
First Name MICHAEL
Middle Name J B
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1991
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COASTAL MEDICAL INC
Group Practice Pac Id 8426961004
Number Of Group Practice Members 102
Line 1 Street Address 360 KINGSTOWN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City NARRAGANSETT
State RI
Zip Code 028823239
Phone Number 4017836940
Hospital Affiliation Ccn 1 410008
Hospital Affiliation Lbn 1 SOUTH COUNTY HOSPITAL INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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