Individual
JOSE R GOMEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 MOUNT PROSPECT AVE, NEWARK, NJ 07104-1530
(973) 482-4697
(973) 482-0893
Mailing address
550 MOUNT PROSPECT AVE, NEWARK, NJ 07104-1530
(973) 482-4697
(973) 482-0893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA029163
NJ
Other
Enumeration date
08/16/2005
Last updated
07/08/2007
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