Provider Demographics
NPI:1568711448
Name:GONZALEZ, ABEL ERNESTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ABEL
Middle Name:ERNESTO
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 37TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-4994
Mailing Address - Country:US
Mailing Address - Phone:201-864-4477
Mailing Address - Fax:201-864-9727
Practice Address - Street 1:408 37TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-4994
Practice Address - Country:US
Practice Address - Phone:201-864-4477
Practice Address - Fax:201-864-9727
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-06
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09618100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine