Whalio Doctors

NPI 1003073685

Jed David Gonzalo, MD

Practitioner Internal Medicine Physician Roanoke, VA

Practice location

Address
3 Riverside Cir, Roanoke, VA 24016-4955
Phone
(540) 224-5170
Mailing address
213 S Jefferson St STE 1006, Roanoke, VA 24011-1713

Registered specialties (3)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 0101277337 (VA)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 228391 (MA)
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence MD436675 (PA)

Registry record

NPI
1003073685
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 May 2008
Record last updated
28 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.