Gateway Area Medical Pcp

NPI #1104881648 in Du Bois, Pennsylvania

Provider Information

NPI Number
1104881648
Entity Type
Organization
Organization Name
Gateway Area Medical Pcp
Primary Specialty
Pediatrics
Enumeration Date
Apr 18, 2006
Last Updated
Dec 13, 2010

Practice Location

Address
635C MAPLE AVE
ZIP Code
15801-2377
Phone
(814) 371-1771

Authorized Official

Name
LINDA J NOWAK
Title
BILLING DEPT
Phone
(814) 371-1771

Specialties & Taxonomy Codes

Specialty
Pediatrics

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Organizations

Provider Name
Dubois Regional Medical Group, PC

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