Provider Demographics
NPI:1265401764
Name:GONZALES, FRINE G (MD)
Entity type:Individual
Prefix:
First Name:FRINE
Middle Name:G
Last Name:GONZALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12424 GREENSPRING AVE
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1022
Mailing Address - Country:US
Mailing Address - Phone:410-402-7386
Mailing Address - Fax:410-402-7714
Practice Address - Street 1:55 WADE AVE
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4663
Practice Address - Country:US
Practice Address - Phone:410-402-7386
Practice Address - Fax:410-402-7714
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD220612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry