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Individual
ORLANDO GOMEZ
Active
Individual
ORLANDO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013116
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088455R81
MEDICARE ID - TYPE UNSPECIFIED
—
01
—
14990
ELDER HEALTH
PA
01
—
1688546
B SHIELD BLUE CHOICE
—
01
—
2361142
IBC
PA
01
—
2361142000
KEYSTONE
—
05
—
4670180001
—
PA
01
—
7218638
AETNA
—
Enumeration date
07/25/2006
Last updated
04/08/2011
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