Individual
RICHARD THOMAS GOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
RADIATION ONCOLOGY-SOMC, 1140 ROUTE 72 WEST, MANAHAWKIN, NJ 08050-0805
(609) 978-2194
(609) 978-2843
Mailing address
RADIATION ONCOLOGY-SOMC, 1140 ROUTE 72 WEST, MANAHAWKIN, NJ 08050-1026
(609) 978-2194
(609) 978-2843
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405485002
BLUE SHIELD
NY
01
—
4144417
MVP
NY
Enumeration date
07/17/2006
Last updated
12/11/2020
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