Individual
DR. GARY A. EMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
833 CHESTNUT STREET EAST, SUITE 300, JEFFERSON FACULTY PEDS AND DUPONT CHILDRENS HLTH PROG, PHILADELPHIA, PA 19107-4405
(215) 861-8800
(215) 861-8815
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD019420E
PA
208D00000X
General Practice Physician
MD019420E
PA
208M00000X
Hospitalist Physician
Primary
MD019420E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4104382
—
MD
05
—
7507801
—
NJ
05
—
763949
—
PA
Enumeration date
11/02/2006
Last updated
02/20/2018
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