Individual
MELISSA JANE GAMMIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 4TH ST, EAST BERLIN, PA 17316-9638
(717) 812-4900
(717) 259-7262
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-4900
(717) 259-7262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA001891L
PA
363AM0700X
Medical Physician Assistant
Primary
MA001891L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1551696
GATEWAY-WMG
PA
01
—
1916744
HIGHMARK FREEDOM BLUE
PA
01
—
20019276
AMERIHEALTH MERCY-WMG
PA
01
—
50000130
CAPITAL BLUE CROSS-WMG
PA
Enumeration date
06/28/2006
Last updated
06/13/2016
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