Organization
PRIMARY CARE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE G GONZALEZ MD (MEDICAL DOCTOR)
(732) 370-0320
Entity
Organization
Contact information
Practice address
4630 US HIGHWAY 9, HOWELL, NJ 07731-3319
(732) 370-0320
Mailing address
4630 US HIGHWAY 9, HOWELL, NJ 07731-3319
(732) 370-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA0378890
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3973808
—
NJ
Enumeration date
03/13/2007
Last updated
08/22/2020
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