Individual
DR. ANTONIO M GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 RYERSON PL, CLOSTER, NJ 07624-2506
(201) 768-8453
Mailing address
52 RYERSON PL, CLOSTER, NJ 07624-2506
(212) 768-8453
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125076
NY
Other
Enumeration date
10/02/2006
Last updated
09/27/2012
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