Individual
MAIRA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 BURNET AVE, UNION, NJ 07081
(848) 235-1478
Mailing address
1017 BURNET AVE, UNION, NJ 07081
(848) 235-1478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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