Individual
DAVID GOMOLIN
Active
Individual
DAVID GOMOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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