ROSARIO GONZAGA MD PA NPI 1356684302

NPI Details

ROSARIO GONZAGA, MD PA is a pediatrics in Lavale, MD. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ROSARIO GONZAGA, MD PA NPI is 1356684302. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gonzaga Pediatrics And Family Medicine.

The provider's business location address is:

957 NATIONAL HWY
LAVALE, MD
ZIP 21502
Phone: (301) 729-9475
Fax: (301) 729-9474

The provider's authorized official is Rommel Gonzaga .
The authorized official title is Ceo and has the following contact phone number (301) 729-9475.

The CLIA number assigned to this NPI record is 21D0892180 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 8/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: