Ian Jerome Gonzales, REEGT, CLTM, CNIM
Ian Jerome Gonzales, REEGT, CLTM, CNIM is an Electroneurodiagnostic Specialist/Technologist in Englewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
161 Knickerbocker Rd Apt DEnglewood, NJ 07631-2156
Phone: (973) 752-9580
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Specialties & licences
| EEG Specialist/Technologist (primary) | Taxonomy 246ZE0500X · Licence 456 (NJ) |
|---|---|
| Electroneurodiagnostic Specialist/Technologist | Taxonomy 246ZE0600X · Licence 4926 (NJ) |
Record details
| NPI number | 1992402119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | REEGT , CLTM , CNIM |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2023 |
| Last updated in NPPES | February 8, 2023 |
| Certification date | February 8, 2023 |
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