Individual
JENNIFER E GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
88 E NEWTON ST, ROBINSON 5, BOSTON, MA 02118-2308
(617) 638-8413
(617) 638-8607
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1050
MA
Other
Enumeration date
04/03/2012
Last updated
03/13/2015
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