Individual
DR. JEANNETTE ROSE GONZALEZ SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19 HATHAWAY LN, VERONA, NJ 07044-2306
(917) 294-4620
Mailing address
19 HATHAWAY LN, VERONA, NJ 07044-2306
(917) 294-4620
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
244298
NY
2080P0206X
Pediatric Gastroenterology Physician
25MB09786100
NJ
Other
Enumeration date
05/12/2010
Last updated
04/17/2019
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