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Individual

JONATHAN D GOMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104-4306
(215) 615-4949
(215) 615-0829
Mailing address
3400 CIVIC CENTER BOULEVARD, EAST PAVILION, 2ND FLOOR, PHILADELPHIA, PA 19104-4306
(215) 615-4949
(215) 615-0829

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD029380E
PA

Other

Enumeration date
02/13/2006
Last updated
06/13/2012
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