| NPI | 1427284595 |
|---|---|
| Former Legal Business Name | GATEWAY PEDIATRICS, PA |
| Entity Type | Organization |
| Authorized Contact | MELISSA J GRAVES Office Manager 410-912-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2022-09-30 |