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Contact Information

VANESSA GOMEZ, ATC, LAT
1801 N BROAD ST
PHILADELPHIA, PA19122-6003
 Phone: 954-980-5257
 Fax: 215-204-2133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for VANESSA GOMEZ · (Female)

NPI # 1184907560
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 09/22/2011
Last updated 08/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RT005070
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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