Organization
ROSA M. GONZALEZ M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA M. GONZALEZ M.D. (DIRECTOR)
(201) 861-3346
Entity
Organization
Contact information
Practice address
7800 PALISADE AVE, NORTH BERGEN, NJ 07047-5527
(201) 861-3346
Mailing address
7800 PALISADE AVE, NORTH BERGEN, NJ 07047-5527
(201) 861-3346
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA34067
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
445294
MEDICARE PTAN
NJ
Enumeration date
02/10/2009
Last updated
02/10/2009
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