NPI 1003144395

Julio Gonzalez, PTA

Practitioner Specialist Cedar Grove, NJ

Practice location

Address: 6 Mountain Ridge Dr, Cedar Grove, NJ 07009-1127
Phone: (973) 964-4457

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 40QB00069700 (NJ)

Other Specialist providers in New Jersey →

Registry record

NPI: 1003144395
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Nov 2009
Record last updated: 24 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.