Gomez, Miguel Jose

Gomez, Miguel Jose is an sole proprietor health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3300. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Gomez, Miguel Jose can be contacted via phone (703) 776-4001.

Contact Information

Primary practice address
3300 Gallows Rd Falls Church VA 22042-3300
Phone: (703) 776-4001
Fax: (703) 776-7113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101228416 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101228416 Virginia

Profile Details

NPI number 1487629010
LBN Legal business name Gomez, Miguel Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Sep 17th, 2020 - about 5 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 1487629010 NPPES
Virginia MEDICAID 006209009

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