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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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