Individual
DR. SHARON GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 S GROVE ST, EAST ORANGE, NJ 07018-4102
(973) 677-1027
Mailing address
150 BERGEN STREET, LEVEL C, NEWARK, NJ 07103-2496
(973) 972-5188
(973) 972-2307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA07884400
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA07884400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097527
—
NJ
Enumeration date
05/26/2006
Last updated
10/13/2022
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