Individual
MICHAEL D GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
589 S 1ST ST, NEW BEDFORD, MA 02740-5716
(508) 996-3147
(508) 990-1465
Mailing address
589 S 1ST ST, NEW BEDFORD, MA 02740-5716
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04-2173052
MA
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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