Individual
EVA GOMBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6269
(617) 525-7333
Mailing address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6269
(617) 525-7333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
220354
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044005
—
MA
01
—
464048
TUFTS HEALTH PLAN
MA
01
—
J27538
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/16/2005
Last updated
08/09/2012
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