Individual
DR. EDWIN RAFAEL MOSQUEA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(862) 333-4700
Mailing address
131 S ROBERTSON ST RM 803, NEW ORLEANS, LA 70112-2807
(504) 988-6145
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
06/27/2025
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