| NPI | 1811472111 | 
|---|---|
| Doing Business As | LENIS GONZALEZ, M.D. | 
| Entity Type | Organization | 
| Authorized Contact | MARGARET TASSIELLO Business Manager 201-569-5151 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207N00000X Dermatology | 
| Enumeration Date | 2018-10-02 | 
| Last Update Date | 2018-10-02 |