Dr Shamilia Gomez, DC | |
126 Park Ave, Bridgeport, CT 06604-7620 | |
(203) 576-4880 | |
Not Available |
Full Name | Dr Shamilia Gomez |
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Gender | Female |
Speciality | Chiropractor |
Location | 126 Park Ave, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174984819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 002025 (Connecticut) | Primary |
Provider Name | Community Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
Mailing Address | Practice Location Address |
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Dr Shamilia Gomez, DC 126 Park Ave, Bridgeport, CT 06604-7620 Ph: (203) 576-4880 | Dr Shamilia Gomez, DC 126 Park Ave, Bridgeport, CT 06604-7620 Ph: (203) 576-4880 |
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