Individual
DR. MARY J GOMBASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4571 WESTBOURNE RD, TOLEDO, OH 43623-2015
(419) 841-1660
(419) 841-4103
Mailing address
4571 WESTBOURNE RD, TOLEDO, OH 43623-2015
(419) 841-1660
(419) 841-4103
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
35047714
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0688707
—
OH
Enumeration date
04/11/2006
Last updated
07/25/2007
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