David Gomolin in Roxbury Crossing - Cardiovascular Disease

David Gomolin - NPI 1528140985

David Gomolin is a Cardiovascular Disease in Roxbury Crossing, Massachusetts. David Gomolin practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for David Gomolin is 1528140985. The last update date is 2009-12-23.

David Gomolin's current location address is 125 Parker Hill Ave, Roxbury Crossing, Massachusetts. You can contact this provider via phone number 6177359200 and fax number 6177359230. The mailing address for David Gomolin is 125 Parker Hill Ave, Roxbury Crossing, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name David Gomolin
Address 125 Parker Hill Ave, Roxbury Crossing, Massachusetts
Phone Number 6177359200
Fax Number 6177359230
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1528140985
Provider Enumeration Date 2006-10-19
Last Updated Date 2009-12-23

Provider Mailing Address Detail

Address 125 Parker Hill Ave
City Roxbury Crossing
State Massachusetts (MA)
Post Code 21202847
Phone Number 6177359200
Fax Number 6177359230

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 49501
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2500375 MA UNITED
708332 MA TUFTS
3002772 MA --
J02985 MA BXBS
61469 MA HARVARD PILGRIM
226220 RI BX OF RI

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FAQs about David Gomolin

What is the unique 10-digit identifier code issued to David Gomolin by the Centers for Medicare & Medicaid Services?

The David Gomolin has been assigned the NPI (National Provider Identifier) 1528140985 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where David Gomolin is geographically located?

The David Gomolin is physically situated at the following location: 125 Parker Hill Ave, Roxbury Crossing, MA, 21202847.

What is David Gomolin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David Gomolin is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

On what date did the David Gomolin receive its 1528140985 assignment from the Centers for Medicare & Medicaid Services?

The David Gomolin was assigned its 1528140985 by the Centers for Medicare & Medicaid Services on 2006-10-19.

As of what date were the details related to David Gomolin most recently updated or revised?

The information pertaining to David Gomolin, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-23.

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