NPI 1043286784

Edwin Gonzalez, MD

Practitioner General Practice Physician Portsmouth, VA

Practice location

Address: 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone: (757) 953-8229
Fax: (757) 953-8225
Mailing address: 2248 Haversham Close, Virginia Beach, VA 23454-1151

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 6606 (PR)

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Registry record

NPI: 1043286784
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 9 Jul 2021

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.