| Doctor Name: | SANDRA L GOMEZ |
| NPI Number: | 1033556717 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NR11928000 |
| Business Practice Address: | 633 Rte 37 W Toms River, NJ - 087558007 |
| Business Phone Number: | 7322404787 |
| Business Fax Number: | 7325751597 |
| Mailing Address: | 633 Rte 37 W, TOMS RIVER |
| State: | NJ |
| Postal Code: | 087558007 |
| Phone Number: | 7322404787 |
| Fax Number: | 7325751597 |
| NPI Enumeration Date: | 06/04/2013 |
| NPI Last Update Date: | 02/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2200X |
| License Number: | 26NR11928000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |