Gomez, Geraldine
Gomez, Geraldine is an individual health care provider with primary practice located at 99 Old Indian Rd , West Orange NJ 07052-2603. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gomez, Geraldine can be contacted via phone (973) 429-7474.Contact Information
Primary practice address
99 Old Indian Rd
West Orange NJ 07052-2603
Phone: (973) 429-7474
Fax: (973) 731-8381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA33887 | New Jersey |
Profile Details
| NPI number | 1437149580 |
|---|---|
| LBN Legal business name | Gomez, Geraldine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437149580 | NPPES |
| New Jersey | MEDICAID | 2899701 |
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