Individual
LUIS ALONSO GONZALEZ GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
628 CEDAR LN, TEANECK, NJ 07666-1704
(201) 837-7300
(201) 836-6426
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
(908) 458-8333
(908) 967-5488
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA10786500
NJ
Other
Enumeration date
06/18/2014
Last updated
03/27/2024
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