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Organization

CARLOS J. GOMEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS J. GOMEZ M.D. (DIRECTOR)
(201) 823-2655
Entity
Organization

Contact information

Practice address
95 W 50TH ST, BAYONNE, NJ 07002-3226
(201) 823-2655
(201) 823-1036
Mailing address
95 W 50TH ST, BAYONNE, NJ 07002-3226
(201) 823-2655
(201) 823-1036

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
MA22874
NJ

Other

Enumeration date
08/18/2008
Last updated
08/18/2008
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