Most Relevant Information
Provider Data
| NPI Number: | 1003834102 |
| Provider Name: | RICHARD THOMAS GOSSE PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 009647 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 12/11/2020 |
Provider Practice Location
RADIATION ONCOLOGY-SOMC
1140 ROUTE 72 WEST
MANAHAWKIN
NJ
080500805
Practice Location Phone/Fax
| Phone: | 6099782194 |
| Fax: | 6099782843 |
Provider Mailing Location
RADIATION ONCOLOGY-SOMC
1140 ROUTE 72 WEST
MANAHAWKIN
NJ
080501026
Provider Mailing Phone/Fax
| Phone: | 6099782194 |
| Fax: | 6099782843 |