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NPI Code Detail

MEDICARE: MARINA DE COS GOMEZ MD, MS

MEDICARE: MARINA DE COS GOMEZ MD, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician3021425MA

General Provider Information

NPI Number : 1073446993
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA DE COS GOMEZ MD, MS
Provider Business Mailing Address
First Line : 49 CAMERON ST APT 2
Second Line :
City : BROOKLINE
State : MA
Zip : 02445-7613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-732-6383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ MARINA DE COS GOMEZ MD, MS” Practice Location

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