Individual
MR. EMMANUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
511 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2636
(973) 762-4720
(973) 762-3731
Mailing address
511 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2636
(973) 762-4720
(973) 762-3731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00861800
NJ
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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