Provider Demographics
NPI:1942562426
Name:GOMEZ, JULIO CESAR (DO)
Entity type:Individual
Prefix:DR
First Name:JULIO
Middle Name:CESAR
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-2704
Mailing Address - Fax:
Practice Address - Street 1:6420 ROCKLEDGE DR STE 3700
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-7846
Practice Address - Country:US
Practice Address - Phone:301-896-7979
Practice Address - Fax:301-896-8806
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD00H92831208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH0092831OtherSTATE LICENSE