Individual provider · Type 1 NPI
Leoncio G. Gonzalez, MD
General Practice Physician · Dover, NJ
NPI number
1366617987
Active
Practice location
400 W Blackwell St, St Clares Hospital
Dover, NJ 07801
Mailing address
91 Pleasant Hill Rd
Randolph, NJ 07869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 25MA04600100 (NJ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1366617987
Leoncio G. Gonzalez, MD's National Provider Identifier is 1366617987, issued on Apr 24, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Dover, NJ. The record was last updated on Apr 24, 2008.