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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