Individual
SULLY GISEL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
1114 MAIN AVE UNIT 13, CLIFTON, NJ 07015-7002
(201) 922-0446
(862) 416-2571
Mailing address
1114 MAIN AVE UNIT 13, CLIFTON, NJ 07015-7002
(201) 922-0446
(862) 416-2571
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
0425516250SG
NJ
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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