Individual
ELIZABETH PEREZ GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 BERGENLINE AVE, NORTH BERGEN, NJ 07047-7134
(201) 869-3335
Mailing address
24 JONES ST APT 512, NEWARK, NJ 07103-3845
(561) 853-5054
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-81180
FL
122300000X
Dentist
Primary
22DI03096200
NJ
Other
Enumeration date
04/03/2019
Last updated
06/12/2025
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