Gomez, Jose Fernando

Gomez, Jose Fernando is an individual health care provider with primary practice located at 703 Main Street , Paterson NJ 07503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gomez, Jose Fernando can be contacted via phone (973) 754-2000.

Contact Information

Primary practice address
703 Main Street Paterson NJ 07503
Phone: (973) 754-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA06515500 New Jersey

Profile Details

NPI number 1801893326
LBN Legal business name Gomez, Jose Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 24th, 2015 - about 9 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 1801893326 NPPES
New Jersey MEDICAID 7187203

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