Organization
ANDREAS GOMOLL ORTHOPAEDIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREAS HANS GOMOLL MD (OWNER/PHYSICIAN)
(617) 610-4858
Entity
Organization
Contact information
Practice address
523 E 72ND ST, NEW YORK, NY 10021-4099
(212) 606-1775
Mailing address
PO BOX 12204, HAUPPAUGE, NY 11788-0614
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
10/13/2021
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