Individual
DR. PRISCILA N GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 CENTER PLZ, TINTON FALLS, NJ 07724-9744
(732) 460-5360
(732) 460-7442
Mailing address
2 CENTER PLZ, TINTON FALLS, NJ 07724-9744
(732) 460-5360
(732) 460-7442
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA07243600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8968705
—
NJ
Enumeration date
05/11/2006
Last updated
07/08/2007
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