NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1013001999 |   |   |   | JUAN A GONZALEZ MD PA | 3196 KENNEDY BLVD | UNION CITY | NJ | 070872436 |
1639254634 | COSTA | GERMAN | H |   | 3196 KENNEDY BLVD | UNION CITY | NJ | 070872436 |
1568556520 | GONZALEZ | JUAN | A |   | 3196 KENNEDY BLVD | UNION CITY | NJ | 070872436 |
1780845180 | KOFMAN | IGOR |   |   | 3196 KENNEDY BLVD | UNION CITY | NJ | 070872436 |