Gonzales, Sharon

Gonzales, Sharon is an individual health care provider with primary practice located at 110 S Grove St , East Orange NJ 07018-4102. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is her primary health care specialty. Gonzales, Sharon can be contacted via phone (973) 677-1027.

Contact Information

Primary practice address
110 S Grove St East Orange NJ 07018-4102
Phone: (973) 677-1027
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07884400 New Jersey
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA07884400 New Jersey

Profile Details

NPI number 1720034135
LBN Legal business name Gonzales, Sharon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Oct 13th, 2022 - about 2 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 1720034135 NPPES
New Jersey MEDICAID 0097527

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