Gateway Healthcare, INC
NPI #1477583706 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1477583706
- Entity Type
- Organization
- Organization Name
- Gateway Healthcare, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 249 ROOSEVELT AVE
- Address 2
- STE 205
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-2134
- Phone
- (401) 724-8400
Authorized Official
- Name
- PEDRO TACTACAN
- Title
- CRED COORDINATOR
- Phone
- (401) 724-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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