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Mr. Eugenio De Jesus Gonzalez, PAC
Medical Physician Assistant in Wilmington, North Carolina
NPI 1972522779

Eugenio De Jesus Gonzalez is a Medical Physician Assistant based in Wilmington, NC and is specialized in Medical. Eugenio De Jesus Gonzalez practices in Wilmington, NC and has the professional credentials of PAC. The NPI Number for Eugenio De Jesus Gonzalez is 1972522779 and holds a License No. NC103739 (North Carolina).

The current practice location address for Eugenio De Jesus Gonzalez is 4402 Shipyard Blvd, Wilmington, NC and can be reached out via phone at 910-452-7000. You can also correspond with Eugenio De Jesus Gonzalez through the mailing address at 1135 MILITARY CUTOFF RD STE 103, WILMINGTON, NC - 28405-3685 (mailing address contact number: 910-256-6222).

Location: 4402 Shipyard Blvd, Wilmington, NC, 28405-3685
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Provider Profile Details
NPI Number
1972522779
Provider Name
Eugenio De Jesus Gonzalez
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
4402 Shipyard Blvd, Wilmington, NC, 28405-3685
Phone Number
910-452-7000
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972522779 05 NC
0932PA 05 SC
institution
Provider Business Practice Location Address Details
Address
4402 Shipyard Blvd
City
State
Zip
28403-6161
Phone Number
910-452-7000
Fax Number
person
Provider Business Mailing Address Details
Address
4402 Shipyard Blvd
City
State
Zip
28403-6161
Phone Number
910-452-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
NC103739 (North Carolina)
Definition
Definition to come...
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