Healthcare Provider Details

I. General information

NPI: 1023954252
Provider Name (Legal Business Name): ALDO GONZALES FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 HARTFORD AVE
BELLINGHAM MA
02019-3007
US

IV. Provider business mailing address

360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH NH
03801-7105
US

V. Phone/Fax

Practice location:
  • Phone: 774-295-4355
  • Fax: 774-295-4880
Mailing address:
  • Phone: 603-410-6700
  • Fax: 603-309-9601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2345752
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: