Individual
EDWIN D GOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-8800
Mailing address
4204 HARBOUR TOWN DR, BELTSVILLE, MD 20705-1000
(301) 595-0098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002839
MD
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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