Organization
ENGLEWOOD DERMATOLOGY CENTER
Active
Organization
ENGLEWOOD DERMATOLOGY CENTER
Active
Other names
Lenis Gonzalez, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET TASSIELLO (BUSINESS MANAGER)
(201) 569-5151
Entity
Organization
Contact information
Practice address
300 GRAND AVE STE 201, ENGLEWOOD, NJ 07631-6300
(201) 569-5151
(201) 569-9193
Mailing address
300 GRAND AVE STE 201, ENGLEWOOD, NJ 07631-6300
(201) 569-5151
(201) 569-9193
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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