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Dr. Edwin Rafael Mosquea Gomez, MD
Student in an Organized Health Care Education/Training Program in Montclair, New Jersey
NPI 1619617560

Edwin Rafael Mosquea Gomez is a Student in an Organized Health Care Education/Training Program based in Montclair, NJ. Edwin Rafael Mosquea Gomez practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Edwin Rafael Mosquea Gomez is 1619617560 and holds a License No. (New Jersey).

The current practice location address for Edwin Rafael Mosquea Gomez is 1 Bay Ave, Montclair, NJ and can be reached out via phone at 862-333-4700. You can also correspond with Edwin Rafael Mosquea Gomez through the mailing address at 1 BAY AVE, MONTCLAIR, NJ - 07042-4837 (mailing address contact number: 862-333-4700).

Location: 1 Bay Ave, Montclair, NJ, 07042-4837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619617560
Provider Name
Edwin Rafael Mosquea Gomez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Ave, Montclair, NJ, 07042-4837
Phone Number
862-333-4700
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Bay Ave
City
Montclair
State
New Jersey
Zip
07042-4837
Phone Number
862-333-4700
Fax Number
person
Provider Business Mailing Address Details
Address
1 Bay Ave
City
Montclair
State
New Jersey
Zip
07042-4837
Phone Number
862-333-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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