Individual
DAVID GOMOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 PARKER HILL AVE, STE 500, ROXBURY CROSSING, MA 02120-2847
(617) 735-9200
(617) 735-9230
Mailing address
125 PARKER HILL AVE, STE 500, ROXBURY CROSSING, MA 02120-2847
(617) 735-9200
(617) 735-9230
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
49501
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226220
BX OF RI
RI
01
—
2500375
UNITED
MA
05
—
3002772
—
MA
01
—
61469
HARVARD PILGRIM
MA
01
—
708332
TUFTS
MA
01
—
J02985
BXBS
MA
Enumeration date
10/19/2006
Last updated
12/23/2009
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