Mario S Gonzalez, MD FCAP FASCP
Pathology, Anatomic Pathology & Clinical Pathology in Newark, New Jersey
1952414476- Practice location
- 111 Central Ave, Newark, NJ 07102
- Phone
- 973-877-5200
- Fax
- 973-877-2468
- Last updated
- April 30, 2012
Mario Segundo Gonzalez is a Pathology, Anatomic Pathology & Clinical Pathology based in Newark, NJ. Mario Segundo Gonzalez practices in Newark, NJ and has the professional credentials of MD FCAP FASCP. The NPI Number for Mario Segundo Gonzalez is 1952414476 and holds a License No. 25MA07983800 (NJ). The current practice location address for Mario Segundo Gonzalez is 111 Central Ave, Newark, NJ 07102 and can be reached out via phone at 973-877-5200 and via fax at 973-877-2468.
Provider Profile Details
- NPI Number
- 1952414476
- Provider Name
- Mario Segundo Gonzalez
- Credential
- MD FCAP FASCP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Central Ave, Newark, NJ 07102
- Phone Number
- 973-877-5200
- Fax Number
- 973-877-2468
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 17, 2006
- Last Update Date
- April 30, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Central Ave
Newark, NJ 07102 - City
- Newark
- State
- New Jersey
- Zip
- 07102
- Phone Number
- 973-877-5200
- Fax Number
- 973-877-2468
Provider Business Mailing Address Details
- Address
- 20 Nassau St
Suite 216
Princeton, NJ 08542-4509 - City
- Princeton
- State
- NJ
- Zip
- 08542-4509
- Phone Number
- 609-924-3588
- Fax Number
- 609-924-3581
License Information
- License Number
- 25MA07983800
- License State
- NJ
- Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mario S Gonzalez, MD FCAP FASCP?
The NPI number of Mario S Gonzalez, MD FCAP FASCP is 1952414476. It was assigned on August 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Mario S Gonzalez, MD FCAP FASCP?
Mario S Gonzalez, MD FCAP FASCP is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NJ under license number 25MA07983800.
Where does Mario S Gonzalez, MD FCAP FASCP practice?
The practice location is 111 Central Ave, Newark, NJ 07102. The office can be reached at 973-877-5200 (phone) or 973-877-2468 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952414476 directly on the NPPES registry website.