Individual
LILY W GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
359 GROVE ST, JERSEY CITY, NJ 07302-2949
(201) 432-8717
(201) 946-0390
Mailing address
359 GROVE ST, JERSEY CITY, NJ 07302-2949
(201) 432-8717
(201) 946-0390
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA02526600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2805804
—
NJ
Enumeration date
07/28/2006
Last updated
07/08/2007
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