Gomez, Orlando
Gomez, Orlando is an individual health care provider with primary practice located at 49-4 Revere Rd , Drexel Hill PA 19026-5331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gomez, Orlando can be contacted via phone (215) 620-6487.Contact Information
Primary practice address
49-4 Revere Rd
Drexel Hill PA 19026-5331
Phone: (215) 620-6487
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS013116 | Pennsylvania |
Profile Details
NPI number | 1194748079 |
---|---|
LBN Legal business name | Gomez, Orlando |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Apr 8th, 2011 - about 13 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 | 1194748079 | NPPES |
Other | 1688546 | B SHIELD BLUE CHOICE | |
Other | 088455R81 | B SHIELD BLUE CHOICE | |
Other | 14990 | B SHIELD BLUE CHOICE | |
Other | 7218638 | B SHIELD BLUE CHOICE | |
MEDICAID | 4670180001 | B SHIELD BLUE CHOICE | |
Other | 2361142 | B SHIELD BLUE CHOICE | |
Other | 2361142000 | B SHIELD BLUE CHOICE |
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