Gomolin, David
Gomolin, David is an individual health care provider with primary practice located at 125 Parker Hill Ave Ste 500, Roxbury Crossing MA 02120-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gomolin, David can be contacted via phone (617) 735-9200.Contact Information
Primary practice address
125 Parker Hill Ave Ste 500
Roxbury Crossing MA 02120-2847
Phone: (617) 735-9200
Fax: (617) 735-9230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 49501 | Massachusetts |
Profile Details
| NPI number | 1528140985 |
|---|---|
| LBN Legal business name | Gomolin, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Dec 23rd, 2009 - about 15 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 | 1528140985 | NPPES |
| Massachusetts | Other | 2500375 | UNITED |
| Massachusetts | Other | 708332 | UNITED |
| Massachusetts | MEDICAID | 3002772 | UNITED |
| Massachusetts | Other | J02985 | UNITED |
| Massachusetts | Other | 61469 | UNITED |
| Massachusetts | Other | 226220 | UNITED |
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