Individual
ISEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 BROAD ST, NEWARK, NJ 07102-2622
(973) 643-5222
(973) 643-0319
Mailing address
226 NORTH AVE, HILLSIDE, NJ 07205-3116
(908) 351-7081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01885100
NJ
183500000X
Pharmacist
PS22843
FL
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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