Ian Jerome Gonzales, R. EEG T, CLTM, CNIM
NPI #1992402119 in Englewood, New Jersey
Provider Information
- NPI Number
- 1992402119
- Entity Type
- Individual
- Name
- Ian Jerome Gonzales, R. EEG T, CLTM, CNIM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - EEG
- Credential
- R. EEG T, CLTM, CNIM
- Enumeration Date
- Feb 8, 2023
- Last Updated
- Feb 8, 2023
Practice Location
- Address
- 161 KNICKERBOCKER RD APT D
- City
- Englewood
- State
- New Jersey
- ZIP Code
- 07631-2156
- Phone
- (973) 752-9580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
| Specialist/Technologist, Other - EEG — EEG |
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