Individual
ROBERT P GATEWOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 ESSJAY RD, BUFFALO MEDICAL GROUP, PC, WILLIAMSVILLE, NY 14221-5782
(716) 630-1146
(716) 817-1729
Mailing address
6255 SHERIDAN DR, SUITE 108 - CREDENTIALING DEPT, WILLIAMSVILLE, NY 14221-4836
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
124062
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010060701
UNIVERA
NY
01
—
000508569001
BLUE CROSS COMMUNITY BLUE
—
01
—
2100905
INDEPENDENT HEALTH
—
05
—
660068
—
NY
Enumeration date
01/05/2006
Last updated
05/20/2016
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