Individual
DARREN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 NORMAL AVE, MONTCLAIR, NJ 07043-1624
(973) 655-4000
Mailing address
199 EARL ST, WOODBRIDGE, NJ 07095-2615
(646) 763-0643
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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