Individual
DR. ANTONIO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 BROOKLINE AVE, APT 339, BOSTON, MA 02215
(617) 236-2095
Mailing address
180 BROOKLINE AVE UNIT 339, BOSTON, MA 02215-3926
(617) 236-2085
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
233082
MA
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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