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NPI Code Detail

MEDICARE: DR. ARTHUR A GOMBERG DO

MEDICARE: DR. ARTHUR A GOMBERG DO
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
1207QA0505XAdult Medicine PhysicianOS2527FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821085002
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR A GOMBERG DO
Provider Business Mailing Address
First Line : 36 NE 2ND AVE
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-3504
Country : US
Telephone Number : 954-421-0211
Fax Number : 954-421-1289
Provider Business Practice Location Address
First Line : 36 NE 2ND AVE
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-3504
Country : US
Telephone Number : 954-421-0211
Fax Number : 954-421-1289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 10/29/2012

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