Individual
DR. ROBERT LEROY GATTUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 MOUNT CARMEL RD, PARKTON, MD 21120-9723
(410) 357-4500
(410) 357-4570
Mailing address
106 MOUNT CARMEL RD, PARKTON, MD 21120-9723
(410) 357-4500
(410) 357-4570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0034622
MD
207Q00000X
Family Medicine Physician
ME 70600
FL
208600000X
Surgery Physician
D0034622
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3502
BLUE CROSS BLUE SHIELD
MD
05
—
561351500
—
MD
Enumeration date
12/20/2006
Last updated
05/15/2024
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