Individual
DR. FERNANDO ENRIQUE GOMEZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6612-18 BERGENLINE AVE, WEST NEW YORK, NJ 07093
(201) 854-5511
Mailing address
814 4TH ST, SECAUCUS, NJ 07094-3302
(551) 655-2404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02150100
NJ
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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