| Gateway Medical Practice Llc | |
|
7226 Lee Deforest Dr Suite 206 Columbia MD 21046-3239 | |
| (443) 878-7087 | |
| Not Available |
| Full Name | Gateway Medical Practice Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7226 Lee Deforest Dr, Columbia, Maryland |
| Authorized Official Name and Position | Iuliana Keta Selaru (OWNER) |
| Authorized Official Contact | 4438787087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Medical Practice Llc 7226 Lee Deforest Dr Suite 206 Columbia MD 21046-3239 Ph: () - | Gateway Medical Practice Llc 7226 Lee Deforest Dr Suite 206 Columbia MD 21046-3239 Ph: (443) 878-7087 |
| NPI Number | 1588074645 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588074645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0065430 (Maryland) | Primary |
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