Individual
DR. JONATHAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
123 GROVE ST, MONTCLAIR, NJ 07042-4021
(973) 744-5550
Mailing address
22 PETTIT ST, BLOOMFIELD, NJ 07003-3921
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04144600
NJ
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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