Individual provider · Type 1 NPI

Edwin Rafael Mosquea Gomez, MD

Student in an Organized Health Care Education/Training Program · Montclair, NJ

NPI number 1619617560 Active

Practice location

1 Bay Ave
Montclair, NJ 07042-4837

Call (862) 333-4700 Map

Mailing address

131 S Robertson St Rm 803
New Orleans, LA 70112-2807

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1619617560

Edwin Rafael Mosquea Gomez, MD's National Provider Identifier is 1619617560, issued on Mar 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montclair, NJ. The record was last updated on Jun 27, 2025.