Gonzaga, Jonathan Orio

Gonzaga, Jonathan Orio is an individual health care provider with primary practice located at 14-25 Plaza Rd S31, Fair Lawn NJ 07410-3546. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gonzaga, Jonathan Orio can be contacted via phone (201) 797-2050.

Contact Information

Primary practice address
14-25 Plaza Rd S31 Fair Lawn NJ 07410-3546
Phone: (201) 797-2050
Fax: (201) 797-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 028580 New York
Other Service Providers / Specialist 174400000X 40QA01303200 New Jersey

Profile Details

NPI number 1629248562
LBN Legal business name Gonzaga, Jonathan Orio
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Jun 6th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629248562 NPPES
New Jersey Other 40QA01303200 LICENSE
New Jersey Other 028580 LICENSE

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