Organization
GATEWAY EMERGENCY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENNA BEHM (VICE PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
111 CENTRAL AVE, EMERGENCY DEPARTMENT, NEWARK, NJ 07102-1909
(469) 401-2386
(919) 425-0478
Mailing address
3114 CROASDAILE DR, SUITE 200, DURHAM, NC 27705-2508
(469) 401-2386
(919) 425-0478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/25/2013
Last updated
05/19/2015
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