Gonzalez, David

Gonzalez, David is an individual health care provider with primary practice located at 73 S Bath Ave , Long Branch NJ 07740-5725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Gonzalez, David can be contacted via phone (732) 870-3600.

Contact Information

Primary practice address
73 S Bath Ave Long Branch NJ 07740-5725
Fax: (732) 870-0119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 25MA05704900 New Jersey

Profile Details

NPI number 1992772594
LBN Legal business name Gonzalez, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 14th, 2011 - about 13 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 1992772594 NPPES
New Jersey MEDICAID 6229905

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