JONATHAN GONZAGA, PT
Specialist
Active
Individual
NPI: 1629248562
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | 40QA01303200 (NJ) |
Frequently Asked Questions
NPI 1629248562 is the National Provider Identifier for JONATHAN GONZAGA, PT, a Specialist provider located in Fair Lawn, NJ. This NPI was enumerated on March 6, 2008.
JONATHAN GONZAGA, PT practices at 14-25 PLAZA RD, S31, Fair Lawn, NJ 07410.
Quick Facts
- NPI
- 1629248562
- Type
- Individual
- Enumerated
- Mar 6, 2008
- Last Updated
- Jun 6, 2013
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