| Gateway Pediatrics Llc | |
|
1415 Wesley Dr Salisbury MD 21801-7130 | |
| (410) 912-7000 | |
| (410) 912-4202 |
| Full Name | Gateway Pediatrics Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 1415 Wesley Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Jennifer Lynn Wehberg (OWNER) |
| Authorized Official Contact | 4109127000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Pediatrics Llc 1415 Wesley Dr Salisbury MD 21801-7130 Ph: (410) 912-7000 | Gateway Pediatrics Llc 1415 Wesley Dr Salisbury MD 21801-7130 Ph: (410) 912-7000 |
| NPI Number | 1679106538 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679106538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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