Individual
ROBERT J. GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7331
(757) 668-7537
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101040921
VA
208000000X
Pediatrics Physician
0101040921
VA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101040921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017059860001
—
PA
05
—
006722229
—
VA
05
—
0180245000
—
WV
05
—
1000035014
—
DE
05
—
122671100
—
MD
05
—
890505J
—
NC
Enumeration date
05/16/2006
Last updated
12/09/2009
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