Individual
ROBERT GOMON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5633
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01156
MD
Other
Enumeration date
05/18/2006
Last updated
11/08/2013
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