Individual
ADALBERTO DE JESUS GONZALEZ PANTALEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 MARNE HWY, SUITE 206, MOORESTOWN, NJ 08057
(856) 234-0645
(856) 234-0498
Mailing address
500 GROVE STREET, SUITE 100, HADDON HEIGHTS, NJ 08035-1761
(856) 796-9200
(856) 796-9397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD429605
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
25MA08785800
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
92880
GA
Other
Enumeration date
11/08/2006
Last updated
08/09/2022
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