Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN JEROME GONZALES, R. EEG T, CLTM, CNIM
Active Sole ProprietorIAN JEROME GONZALES, R. EEG T, CLTM, CNIM is a Electronic Diagnostic Technologist healthcare provider located in ENGLEWOOD, New Jersey. NPI 1992402119 is currently active in the NPPES registry. Verify at CMS.
Electronic Diagnostic Technologist · ENGLEWOOD, NJ
Registration Details
- NPI Number
- 1992402119
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2023 (3.3266863358123 yrs)
- Last Updated
- Feb 8, 2023
- Licenses
-
4926 (NJ)456 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
161 KNICKERBOCKER RD APT DENGLEWOOD, NJ, 076312156Browse NJ providers · Browse ZIP 07631
- Phone
- 9737529580
- Primary Specialty
-
Electronic Diagnostic Technologist
246ZE0500X
- Additional Specialty
- Electronic Diagnostic Technologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.