GATEWAY PEDIATRICS PA NPI 1679106538

NPI Information

GATEWAY PEDIATRICS, PA is a mental health counselor in Salisbury, MD. GATEWAY PEDIATRICS, PA NPI is 1679106538. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1415 WESLEY DR
SALISBURY, MD
ZIP 21801-130
Phone: (410) 912-7000
Fax: (410) 912-4202

The provider's authorized official is Jennifer Lynn Wehberg .
The authorized official title is Owner and has the following contact phone number (410) 912-7000.

The CLIA number assigned to this NPI record is 21D1105389 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2020 and was last updated on 2/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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