Individual
DR. GERARD L. GONSALVES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D. P.A.
Contact information
Practice address
2168 MILLBURN AVE, STE 102, MAPLEWOOD, NJ 07040-2670
(973) 763-1300
(973) 763-0800
Mailing address
2168 MILLBURN AVE, STE 102, MAPLEWOOD, NJ 07040-2670
(973) 763-1300
(973) 763-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01640700
NJ
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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