Healthcare Provider Details

I. General information

NPI: 1942591151
Provider Name (Legal Business Name): EDULFO GONZALEZ-SANCHEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S PENNSVILLE AUBURN RD
CARNEYS POINT NJ
08069-2936
US

IV. Provider business mailing address

500 S PENNSVILLE AUBURN RD
CARNEYS POINT NJ
08069-2936
US

V. Phone/Fax

Practice location:
  • Phone: 856-299-3200
  • Fax: 856-442-4365
Mailing address:
  • Phone: 856-299-3200
  • Fax: 856-442-4365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA06642000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: