NPI 1477583706

Gateway Healthcare, INC

Organisation Specialist Pawtucket, RI

Practice location

Address: 249 Roosevelt Ave STE 205, Pawtucket, RI 02860-2134
Phone: (401) 724-8400
Fax: (401) 365-1100

Authorised official

Name: Pedro Tactacan
Title: Cred Coordinator
Phone: (401) 724-8400

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MD100002 (RI)

Other Specialist providers in Rhode Island →

Registry record

NPI: 1477583706
Entity type: Organization
NPI issued: 3 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.