Frederick Louis Gomes | Roxbury, MA • PECOS Search

Frederick Louis Gomes

Counselor

Behavioral Health & Social Service Providers

11 Roxbury St, Roxbury, MA 02119-1720

PECOS Enrollment

Based on the most recent information from CMS, provider Frederick Louis Gomes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1104224369
Provider Type
Individual
Full Name
Gomes, Frederick Louis
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
12/19/2014
Last Updated
12/19/2014

Contact Information

Practice Location

11 Roxbury St, Roxbury, MA 02119-1720

Unlisted Fax

Mailing Location

11 Roxbury St, Roxbury, MA 02119-1720

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer