Gateway Emergency Services Pc

NPI 1023448214 - Physician Assistant - 363A00000X

NPI Details
NPI 1023448214
Enumeration Date 11/25/2013
Last Updated 05/19/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TENNA TENNA
Position VICE PRESIDENT
Phone (469) 401-2386
Fax (919) 425-0478
Practice Location
111 CENTRAL AVE
EMERGENCY DEPARTMENT
NEWARK NJ, 07102-1909, US
Phone (469) 401-2386
Fax (919) 425-0478
Business Location
3114 CROASDAILE DR
SUITE 200
DURHAM NC, 27705-2508, US
Phone (469) 401-2386
Fax (919) 425-0478
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Gateway Emergency Services Pc NPI is 1023448214, taxonomy code is 363A00000X Gateway Emergency Services Pc physically located at 111 Central Ave, Newark NJ, 07102-1909. NPI Number 1033115704 has the healthcare provider type.

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1023448214 NPI number is provided on an as is basis without warranty of any kind. 1023448214 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway Emergency Services Pc are for informational purposes only.