Individual
ERNESTO B GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 E CHESTNUT AVE, BUILDING 4, SUITE A, VINELAND, NJ 08361-8467
(856) 794-8664
(856) 794-2671
Mailing address
2384 FRANKLIN DR, VINELAND, NJ 08361-6673
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA02907100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073104000
AMERIHEALTH
NJ
01
—
1156712
HORIZON NJ HEALTH
NJ
05
—
2153505
—
NJ
01
—
300127248
RAILROAD MEDICARE
NJ
01
—
812429
MEDICARE OF NJ
NJ
Enumeration date
05/27/2006
Last updated
09/11/2019
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