Individual
MS. IRIS GILEN MARAVILLA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-3026
(973) 276-7881
Mailing address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-3026
(973) 276-7881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00482400
NJ
Other
Enumeration date
02/01/2014
Last updated
02/01/2014
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