Most Relevant Information
Provider Data
| NPI Number: | 1003377656 |
| Provider Name: | ROSANNY GOMEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2019 |
| Last Updated: | 03/27/2019 |
Provider Practice Location
183 S ORANGE AVE
NEWARK
NJ
071032757
Practice Location Phone/Fax
| Phone: | 9739728426 |
| Fax: |
Provider Mailing Location
671 HOES LN W
PISCATAWAY
NJ
088548021
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |