Individual
MAILYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 ROUTE 17 NORTH, 5TH FLOOR, RUTHERFORD, NJ 07070
(201) 457-0044
(201) 457-0049
Mailing address
201 ROUTE 17 NORTH, 5TH FLOOR, RUTHERFORD, NJ 07070
(201) 457-0044
(201) 457-0049
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00285500
NJ
Other
Enumeration date
07/02/2012
Last updated
09/11/2018
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