Individual
DR. PABLO GOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, GRB 1102 DEPARTMENT OF UROLOGY, BOSTON, MA 02114-2696
(617) 726-8482
(617) 726-6131
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8482
(617) 726-6131
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38936
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098199
—
MA
01
—
718390
TUFTS HEALTH PLAN
MA
01
—
E05279
BCBS MA
MA
Enumeration date
02/17/2006
Last updated
05/21/2014
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