| Evelyn Gonzalez, MD | |
| 3 Cooper Plz, Suite200, Camden, NJ 08103-1438 | |
| (856) 342-2001 | |
| (856) 963-2499 | 
| Full Name | Evelyn Gonzalez | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 
| Location | 3 Cooper Plz, Camden, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619905163 | NPI | - | NPPES | 
| 2230-5 | Other | PR | PROSSAM PROVIDER | 
| SE 2613 | Other | PR | PALIC PROVIDER NUMBER | 
| 9260212 | Other | PR | HUMANA INSURANCE PROVIDER | 
| 80190 GO | Other | PR | TRIPLE-S PROVIDER NUMBER | 
| Entity Name | Cooper Pediatric Specialists, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Evelyn Gonzalez, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (856) 356-4924 | Evelyn Gonzalez, MD 3 Cooper Plz, Suite200, Camden, NJ 08103-1438 Ph: (856) 342-2001 | 
| Dr. Thomas Denton Demark, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Cooper Plz, Suite 307, Camden, NJ 08103 Phone: 856-342-2328 Fax: 856-541-6137 | |
| Nicholas Matthew Adamo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 800-826-6737 | |
| Pamela Szeeley, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Cooper Plz, Suite 307, Camden, NJ 08103 Phone: 856-968-7433 | |
| Elena I Safronova, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz Rm 307, Camden, NJ 08103 Phone: 856-342-2328 | |
| John E Bevilacqua, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Cooper Plz, Suite 320, Camden, NJ 08103 Phone: 856-616-1337 | |
| Dr. Michael H Goodman, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3 Cooper Plz, Suite 200, Camden, NJ 08103 Phone: 856-342-2001 Fax: 856-968-2499 | |
| Vanessa Salasky,  Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Haddon Ave Fl 6, Camden, NJ 08103 Phone: 856-757-3500 Fax: 856-365-4088 |