Provider Demographics
NPI:1497458707
Name:GOHEL, PAULOMI
Entity Type:Individual
Prefix:
First Name:PAULOMI
Middle Name:
Last Name:GOHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 GREEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-9070
Mailing Address - Country:US
Mailing Address - Phone:732-939-0461
Mailing Address - Fax:
Practice Address - Street 1:27 GREEN SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-9070
Practice Address - Country:US
Practice Address - Phone:732-939-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0000000390200000X
PA000000000390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program