| Antero B. Gonzales M.d. | |
|
35 Beaverson Blvd Suite 2b Brick NJ 08723-7812 | |
| (732) 920-4666 | |
| (732) 920-5387 |
| Full Name | Antero B. Gonzales M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 35 Beaverson Blvd, Brick, New Jersey |
| Authorized Official Name and Position | Antero Gonzales (MEDICAL PHYSICIAN) |
| Authorized Official Contact | 7329204666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antero B. Gonzales M.d. 35 Beaverson Blvd Suite 2b Brick NJ 08723-7812 Ph: (732) 920-4666 | Antero B. Gonzales M.d. 35 Beaverson Blvd Suite 2b Brick NJ 08723-7812 Ph: (732) 920-4666 |
| NPI Number | 1386823367 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386823367 | NPI | - | NPPES |
| 029654 | Other | NJ | MEDICARE UPIN GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA62026 (New Jersey) | Primary |
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