Individual
DR. JUAN A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3196 KENNEDY BLVD, 2ND FLOOR, UNION CITY, NJ 07087-2436
(201) 795-9080
(201) 795-9434
Mailing address
3196 KENNEDY BLVD, MAILBOX16A, UNION CITY, NJ 07087-2436
(201) 795-9080
(201) 795-9434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04258800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0844102
CIGNA
—
01
—
1413H
EMPIRE BC
—
01
—
2468687
AETNA
—
05
—
3444104
—
NJ
01
—
P2368176
OXFORD
—
Enumeration date
10/03/2006
Last updated
01/04/2012
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