Individual
DR. MICHAEL ANTHONY GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
909 BROADWAY, BAYONNE, NJ 07002-3051
(201) 443-8245
Mailing address
909 BROADWAY, BAYONNE, NJ 07002-3051
(201) 443-8245
(201) 423-2669
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00764200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222
INDIVIDUAL
NJ
Enumeration date
08/20/2019
Last updated
01/29/2024
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