Organization
PRINCETON PATHOLOGY SERVICES PA
Active
Other names
PRINCETON PATHOLOGY SERVICES PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO GONZALEZ MD (OWNER/PRESIDENT)
(813) 490-7206
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(407) 422-9831
(302) 416-6097
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083151
—
NJ
Enumeration date
10/03/2007
Last updated
04/10/2025
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