Doctor Name: | DR. JEROME ELDON GOSS |
NPI Number: | 1467668905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 68-103 |
Business Practice Address: | #5 Camino Del Sol St. Corrales, NM - 87048 |
Business Phone Number: | 5057921516 |
Business Fax Number: | |
Mailing Address: | #5 Camino Del Sol, Pob 1860 CORRALES |
State: | NM |
Postal Code: | 87048 |
Phone Number: | 5057921516 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 68-103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |