Gocon, Clarence

Gocon, Clarence is an sole proprietor health care provider with primary practice located at 136 W Side Ave , Jersey City NJ 07305-1317. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gocon, Clarence can be contacted via phone (201) 981-2633.

Contact Information

Primary practice address
136 W Side Ave Jersey City NJ 07305-1317
Phone: (201) 981-2633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01079600 New Jersey

Profile Details

NPI number 1992308951
LBN Legal business name Gocon, Clarence
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2020
Last updated Nov 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992308951 NPPES
New Jersey Other 26NJ01079600 NJ APN LICENSE

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