Individual
MR. BIENVENIDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7016
Mailing address
33 BEAUMONT PL, NEWARK, NJ 07104-1611
(973) 483-3722
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00004300
NJ
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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