Individual
NATHAN GOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-4100
Mailing address
201 S HUNTINGTON AVE UNIT 803, BOSTON, MA 02130-5274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102113
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
02/05/2026
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