Gonzalez, Peter G.

Gonzalez, Peter G. is an individual health care provider with primary practice located at 2315 Route 34 Suite D, Manasquan NJ 08736-1444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gonzalez, Peter G. can be contacted via phone (732) 974-0404.

Contact Information

Primary practice address
2315 Route 34 Suite D Manasquan NJ 08736-1444
Phone: (732) 974-0404
Fax: (732) 974-2653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 0101246363 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0101246363 Virginia

Profile Details

NPI number 1790878148
LBN Legal business name Gonzalez, Peter G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated May 6th, 2014 - about 11 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 1790878148 NPPES
Virginia Other PAR AETNA
Virginia Other -017 AETNA
Virginia Other PAR AETNA
Virginia Other 1790878148 AETNA
Virginia Other 1790878148 AETNA
Virginia Other 388453 AETNA
Virginia Other PAR AETNA
Virginia Other 10053837 AETNA
Virginia MEDICAID 1790878148 AETNA
Virginia MEDICAID 5913812 AETNA
Virginia Other PAR AETNA
Virginia Other PAR AETNA
Virginia Other 1790878148 AETNA
Virginia Other PAR AETNA

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