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Individual

MR. ABEL GONZALEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
206 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 420-4923
Mailing address
152 RIDGELINE LN, EASTON, PA 18045-5993
(484) 546-9483

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN664325
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN664325
PA SBON
PA
Enumeration date
05/03/2022
Last updated
10/04/2022
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