# LILY W. GONZALEZ, M.D. PA.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003056490
- **Authorized official:** DR. LILY W. GONZALEZ M.D. (PRESIDENT)
- **Authorized official phone:** (201) 432-8717

## Contact information

- **Practice address:** 359 GROVE ST, JERSEY CITY, NJ 07302-5926
- **Practice address phone:** (201) 432-8717
- **Practice address fax:** (201) 946-0390
- **Mailing address:** 359 GROVE ST, JERSEY CITY, NJ 07302-5926
- **Mailing address phone:** (201) 432-8717
- **Mailing address fax:** (201) 946-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA02526600 | NJ | Yes |

## Other

- **Enumeration date:** 02/25/2009
- **Last updated:** 04/22/2009