NPI 1477080166

Maira Gomez

Practitioner Specialist Union, NJ

Practice location

Address: 1017 Burnet Ave, Union, NJ 07081
Phone: (848) 235-1478

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1477080166
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2017
Record last updated: 12 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.