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Individual

MS. VANESSA GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
1801 N BROAD ST, PHILADELPHIA, PA 19122-6003
(954) 980-5257
(215) 204-2133
Mailing address
1801 N BROAD ST, PHILADELPHIA, PA 19122-6003
(954) 980-5257
(215) 204-2133

Taxonomy

Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
RT005070
PA

Other

Enumeration date
09/22/2011
Last updated
08/09/2013
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