Provider Demographics
NPI:1689059008
Name:SEQUEIRA GOMES, ROCHELLE MARIA REGINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:MARIA REGINA
Last Name:SEQUEIRA GOMES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:833 CHESTNUT ST STE 1210
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4428
Mailing Address - Country:US
Mailing Address - Phone:215-955-2074
Mailing Address - Fax:215-861-0408
Practice Address - Street 1:833 CHESTNUT ST STE 1210
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4428
Practice Address - Country:US
Practice Address - Phone:215-955-2074
Practice Address - Fax:215-861-0408
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2018-06-22
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Provider Licenses
StateLicense IDTaxonomies
DEC7-00067612080N0001X
PAMT2149132080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine