Gonzalez, Marcia M
Gonzalez, Marcia M is an individual health care provider with primary practice located at 8100 Kennedy Blvd , North Bergen NJ 07047-4254. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gonzalez, Marcia M can be contacted via phone (201) 866-6770.Contact Information
Primary practice address
8100 Kennedy Blvd
North Bergen NJ 07047-4254
Phone: (201) 866-6770
Fax: (201) 868-6771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA04299100 | New Jersey |
Profile Details
NPI number | 1780790568 |
---|---|
LBN Legal business name | Gonzalez, Marcia M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2006 |
Last updated | Jan 12th, 2017 - about 7 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 | 1780790568 | NPPES |
New Jersey | MEDICAID | 1749706 |
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