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Individual
JOHNNY S GOMES
Active
Individual
JOHNNY S GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
146002
NC
207P00000X
Emergency Medicine Physician
25MB07443700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2646716000
AMERIHEALTH
NJ
01
—
60018859
HORIZON NJ HEALTH
NJ
05
—
8960003
—
NJ
01
—
P00161477
RAILROAD MEDICARE
NJ
Enumeration date
06/28/2006
Last updated
06/13/2009
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