SearchNew Jersey246ZE0500X

Ian Gonzales, R. EEG T, CLTM, CNIM

NPI 1992402119 · on the registry since 2023 · sole proprietor

Practice

Address
161 Knickerbocker Rd Apt D
Englewood, NJ 07631
Phone
(973) 752-9580

Registry record

Primary taxonomy
246ZE0500X
246ZE0500X
Also registered as
246ZE0600X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey