Individual
DR. CRYSTAL NATALIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00320100
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006051
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026155900001
—
PA
01
—
2296470
GHI PPO
PA
01
—
3848467000
INDEPENDENCE BLUE SHIELD
PA
Enumeration date
09/17/2008
Last updated
08/13/2014
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