Gonzalez, Lily W

Gonzalez, Lily W is an individual health care provider with primary practice located at 359 Grove St , Jersey City NJ 07302-2949. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gonzalez, Lily W can be contacted via phone (201) 432-8717.

Contact Information

Primary practice address
359 Grove St Jersey City NJ 07302-2949
Phone: (201) 432-8717
Fax: (201) 946-0390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA02526600 New Jersey

Profile Details

NPI number 1780698167
LBN Legal business name Gonzalez, Lily W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1780698167 NPPES
New Jersey MEDICAID 2805804

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