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NPI Code Detail

MEDICARE: YANELKY GOMEZ

MEDICARE:   YANELKY  GOMEZ
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
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1861108839
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANELKY GOMEZ
Provider Business Mailing Address
First Line : 532 MARLTON PIKE W # 417
Second Line :
City : MARLTON
State : NJ
Zip : 08053-2075
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 532 MARLTON PIKE W
Second Line :
City : MARLTON
State : NJ
Zip : 08053-2075
Country : US
Telephone Number : 856-308-9771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 01/24/2023

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Directions to “ YANELKY GOMEZ ” Practice Location

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