Individual
JUAN LUIS GOMEZ MARTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 E 77TH ST DEPT OF, NEW YORK, NY 10075-1850
(212) 434-2387
Mailing address
23 CHESTNUT ST, PRINCETON, NJ 08542-3805
(919) 757-1385
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
89775
NY
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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