Gomberg, Richard M

Gomberg, Richard M is an individual health care provider with primary practice located at 1 Brace Road Suite C, Cherry Hill NJ 08034-2624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gomberg, Richard M can be contacted via phone (856) 482-8900.

Contact Information

Primary practice address
1 Brace Road Suite C Cherry Hill NJ 08034-2624
Phone: (856) 482-8900
Fax: (856) 482-8943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS004301L Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MB4007200 New Jersey

Profile Details

NPI number 1497747257
LBN Legal business name Gomberg, Richard M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated May 28th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497747257 NPPES
New Jersey MEDICAID 2356007

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