Individual
MR. JULIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6 MOUNTAIN RIDGE DR, CEDAR GROVE, NJ 07009-1127
(973) 964-4457
Mailing address
6 MOUNTAIN RIDGE DR, CEDAR GROVE, NJ 07009-1127
(973) 964-4457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QB00069700
NJ
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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