Organization
GATEWAY MOBILE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNADINE O LEWIS PA-C (PRESIDENT AND CEO)
(267) 975-9313
Entity
Organization
Contact information
Practice address
208 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1320
(267) 975-9313
Mailing address
208 N LANSDOWNE AVE, LANSDOWNE, PA 19050-1320
(267) 975-9313
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA050628
PA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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