Individual
MICHAL GOMULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6395
(732) 222-5200
Mailing address
71 ELM ST, EDISON, NJ 08817-5415
(732) 725-1979
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10849700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2015
Last updated
12/04/2020
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