Jacqueline S Gomberg in Vineland - Diagnostic Radiology

Jacqueline S Gomberg - NPI 1285675389

Jacqueline S Gomberg is a Diagnostic Radiology in Vineland, New Jersey. Jacqueline S Gomberg practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jacqueline S Gomberg is 1285675389. The last update date is 2008-09-18.

Jacqueline S Gomberg's current location address is 1505 W Sherman Ave, Vineland, New Jersey. You can contact this provider via phone number 8566417940 and fax number 8566417657. The mailing address for Jacqueline S Gomberg is 1505 W Sherman Ave, Vineland, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacqueline S Gomberg
Address 1505 W Sherman Ave, Vineland, New Jersey
Phone Number 8566417940
Fax Number 8566417657
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1285675389
Provider Enumeration Date 2006-06-09
Last Updated Date 2008-09-18

Provider Mailing Address Detail

Address 1505 W Sherman Ave
City Vineland
State New Jersey (NJ)
Post Code 83606912
Phone Number 8566417940
Fax Number 8566417657

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 25 MA0807950
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25MA08079500 NJ MEDICAL LICENSE NUMBER

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FAQs about Jacqueline S Gomberg

What is the Jacqueline S Gomberg's 1285675389?

The Jacqueline S Gomberg's NPI (National Provider Identifier) Number is 1285675389. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Jacqueline S Gomberg?

The Jacqueline S Gomberg is physically situated at 1505 W Sherman Ave, in the city of Vineland, state of NJ, with the postal code 83606912.

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

The specialized area of practice for Jacqueline S Gomberg is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285675389 to Jacqueline S Gomberg?

The Centers for Medicare & Medicaid Services originally issued the 1285675389 to Jacqueline S Gomberg on 2006-06-09.

As of what date were the Jacqueline S Gomberg's details last updated?

The information pertaining to the Jacqueline S Gomberg, including its address, specialty, and other details, was most recently updated on 2008-09-18.

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