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
Fax: (201) 868-6771
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780790568 NPPES
New Jersey MEDICAID 1749706

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