Organization
ROBERT L. GATTUSO, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L. GATTUSO M.D., PA (OWNER/PHYSICIAN)
(410) 357-4500
Entity
Organization
Contact information
Practice address
106 MT CARMEL ROAD, PARKTON, MD 21120
(410) 357-4500
(410) 357-4570
Mailing address
106 MT CARMEL ROAD, PARKTON, MD 21120
(410) 357-4500
(410) 357-4570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0034622
MD
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3502
BLUE CROSS BLUE SHIELD
MD
05
—
561351500
—
MD
Enumeration date
05/07/2007
Last updated
09/20/2024
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