Organization
GATEWAY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN BAILEY (OFFICER/AO)
(203) 609-1168
Entity
Organization
Contact information
Practice address
494 NORTHAMPTON ST, SUITE 2, EDWARDSVILLE, PA 18704-4551
(570) 718-6692
(570) 718-6696
Mailing address
494 NORTHAMPTON ST STE 2, EDWARDSVILLE, PA 18704-4551
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
09/12/2025
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