| Dr Manuel Borja Gonzales, MD | |
|
801 S Adams St, Laboratory, Petersburg, VA 23803-5149 | |
| (804) 862-5010 | |
| Not Available |
| Full Name | Dr Manuel Borja Gonzales |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 801 S Adams St, Petersburg, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447349444 | NPI | - | NPPES |
| 6680241 | Medicaid | VA | |
| 015388 | Other | VA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 0101026717 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manuel Borja Gonzales, MD 801 S Adams St, Laboratory, Petersburg, VA 23803-5149 Ph: (804) 862-5010 | Dr Manuel Borja Gonzales, MD 801 S Adams St, Laboratory, Petersburg, VA 23803-5149 Ph: (804) 862-5010 |
Dr. Danna Elizabeth Johnson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 615-221-4400 | |
Dr. Edward Peter Nikicicz, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 801 S Adams St, Srmc, Lab, Petersburg, VA 23803 Phone: 804-862-5028 | |
Brad Thomas Siegmund, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-862-5010 | |
Dr. John William Summerville, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 615-221-4400 |