Gomberg, Jacqueline S

Gomberg, Jacqueline S is an individual health care provider with primary practice located at 1505 W Sherman Ave , Vineland NJ 08360-6912. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gomberg, Jacqueline S can be contacted via phone (856) 641-7940.

Contact Information

Primary practice address
1505 W Sherman Ave Vineland NJ 08360-6912
Phone: (856) 641-7940
Fax: (856) 641-7657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25 MA08079500 New Jersey

Profile Details

NPI number 1285675389
LBN Legal business name Gomberg, Jacqueline S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285675389 NPPES
New Jersey Other 25MA08079500 MEDICAL LICENSE NUMBER

Popular Providers