Princeton Pathology Services Pa

LBN: Mario Gonzalez, Md
Princeton Pathology Services Pa is an health care organization with primary practice located at 111 Central Ave , Newark NJ 07102-1909. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Mario Gonzalez, Md can be contacted via phone (813) 490-7206, or through Gonzalez, Mario via phone (813) 490-7206.

Contact Information

Primary practice address
111 Central Ave Newark NJ 07102-1909
Phone: (813) 490-7206
Fax: (813) 886-6655
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Mario Doctor of Medicine (MD)
Phone: (813) 490-7206

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1942498985
LBN Legal business name Mario Gonzalez, Md
DBA Doing business as Princeton Pathology Services Pa
Authorized official Gonzalez, Mario Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Nov 17th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942498985 NPPES
New Jersey MEDICAID 0083151

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