Individual
JOSE FERNANDO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN STREET, PATERSON, NJ 07503
(973) 754-2000
Mailing address
11781 LEE JACKSON MEMORIAL HIGHWAY, SUITE 550, FAIRFAX, VA 22033-3309
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06515500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7187203
—
NJ
Enumeration date
06/30/2005
Last updated
07/24/2015
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