| Dr. Marjorie M. Gonzales, Pc | |
|
3469 Quakerbridge Rd Mercerville NJ 08619-1203 | |
| (609) 588-0158 | |
| (609) 588-5791 |
| Full Name | Dr. Marjorie M. Gonzales, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3469 Quakerbridge Rd, Mercerville, New Jersey |
| Authorized Official Name and Position | Marjorie M Gonzales (OWNER) |
| Authorized Official Contact | 6095880158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Marjorie M. Gonzales, Pc 3469 Quakerbridge Rd Mercerville NJ 08619-1203 Ph: (609) 588-0158 | Dr. Marjorie M. Gonzales, Pc 3469 Quakerbridge Rd Mercerville NJ 08619-1203 Ph: (609) 588-0158 |
| NPI Number | 1538357504 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 12/02/2016 |
| Medicare PECOS PAC ID | 1254347552 |
|---|---|
| Medicare Enrollment ID | O20060223000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538357504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA062781 (New Jersey) | Primary |
| Provider Name | Marjorie M Gonzales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952341232 PECOS PAC ID: 8325083496 Enrollment ID: I20050621000176 |
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