| Doctor Name: | DANNY J GOMEZ |
| NPI Number: | 1174880603 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 006626 |
| Business Practice Address: | 318 Chestnut St Roselle Park, NJ - 072041941 |
| Business Phone Number: | 9086875757 |
| Business Fax Number: | |
| Mailing Address: | 318 Chestnut St, ROSELLE PARK |
| State: | NJ |
| Postal Code: | 072041941 |
| Phone Number: | 9086875757 |
| Fax Number: | |
| NPI Enumeration Date: | 04/22/2012 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 006626 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |