Individual
PATRICIA KATHERINE GOMUWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12695 MCMANUS BLVD, BLDG 7 SUITE A, NEWPORT NEWS, VA 23602
(757) 872-8597
(757) 872-0650
Mailing address
12695 MCMANUS BLVD, BLDG 7 SUITE A, NEWPORT NEWS, VA 23602-4435
(757) 872-8597
(757) 872-0650
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101035916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007169
ANTHEM
VA
01
—
52154
OPTIMA
VA
Enumeration date
08/20/2006
Last updated
07/08/2007
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