Provider Demographics
NPI:1912298233
Name:GO, RAMON CHRISTOPHER VILLANUEVA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON CHRISTOPHER
Middle Name:VILLANUEVA
Last Name:GO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1130 ANNAPOLIS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1622
Mailing Address - Country:US
Mailing Address - Phone:410-672-2255
Mailing Address - Fax:410-672-2275
Practice Address - Street 1:1130 ANNAPOLIS RD STE 100
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1622
Practice Address - Country:US
Practice Address - Phone:410-672-2255
Practice Address - Fax:410-672-2275
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2019-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY279377207LP2900X, 207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine