Gonzalez, Evelyn
Gonzalez, Evelyn is an individual health care provider with primary practice located at 3 Cooper Plz Suite200, Camden NJ 08103-1438. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Gonzalez, Evelyn can be contacted via phone (856) 342-2001.Contact Information
Primary practice address
3 Cooper Plz Suite200
Camden NJ 08103-1438
Phone: (856) 342-2001
Fax: (856) 963-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 07070 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 07070 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 25MA08873300 | New Jersey |
Profile Details
| NPI number | 1619905163 |
|---|---|
| LBN Legal business name | Gonzalez, Evelyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Mar 22nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619905163 | NPPES |
| Puerto Rico | Other | 2230-5 | PROSSAM PROVIDER |
| Puerto Rico | Other | SE 2613 | PROSSAM PROVIDER |
| Puerto Rico | Other | 9260212 | PROSSAM PROVIDER |
| Puerto Rico | Other | 80190 GO | PROSSAM PROVIDER |
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