Kassey Ginelle Gonzalez, DO
Student in an Organized Health Care Education/Training Program in Hackensack, NJ. Individual provider (NPI-1).
NPI number1295524809
StatusActive
Last updated in NPPESMay 1, 2025
Details
- NPI
- 1295524809
- Entity type
- Individual (NPI-1)
- Name
- Kassey Ginelle Gonzalez
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2025
- Certification date
- Apr 18, 2025
- Last updated
- May 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
20 Prospect Ave Ste 409Hackensack, NJ 07601-1997
Phone 551-996-3942
Mailing address
20 Prospect Ave Ste 409Hackensack, NJ 07601-1997
Phone 551-996-3942
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All 291 Student in an Organized Health Care Education/Training Program providers in Hackensack · All 3,808 providers in Hackensack
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