# ANTERO B. GONZALES M.D.

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

## Provider details

- **NPI number:** 1386823367
- **Authorized official:** DR. ANTERO GONZALES M.D. (MEDICAL PHYSICIAN)
- **Authorized official phone:** (732) 920-4666

## Contact information

- **Practice address:** 35 BEAVERSON BLVD, SUITE 2B, BRICK, NJ 08723-7812
- **Practice address phone:** (732) 920-4666
- **Practice address fax:** (732) 920-5387
- **Mailing address:** 35 BEAVERSON BLVD, SUITE 2B, BRICK, NJ 08723-7812
- **Mailing address phone:** (732) 920-4666
- **Mailing address fax:** (732) 920-5387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA62026 | NJ | Yes |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 11/13/2007