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Contact Information

JEANNETTE R GONZALEZ SIMON, DO
19 HATHAWAY LN
VERONA, NJ07044-2306
 Phone: 917-294-4620
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JEANNETTE R GONZALEZ SIMON · (Female)

NPI # 1487972659
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/12/2010
Last updated 04/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB09786100
  • NY License # 244298
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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