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Organization

GATEWAY MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE SACCO (MANAGER)
(412) 279-8940
Entity
Organization

Contact information

Practice address
1100 WASHINGTON AVE, STE 115, CARNEGIE, PA 15106-3614
(412) 279-8940
(412) 279-8871
Mailing address
1100 WASHINGTON AVE, STE 115, CARNEGIE, PA 15106-3614
(412) 279-8940
(412) 279-8871

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009406960003
PA
05
001536865003
PA
Enumeration date
06/04/2006
Last updated
07/21/2022
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