| Robert L. Gattuso, M.d., Pa | |
|
106 Mt Carmel Road Parkton MD 21120 | |
| (410) 357-4500 | |
| (410) 357-4570 |
| Full Name | Robert L. Gattuso, M.d., Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 106 Mt Carmel Road, Parkton, Maryland |
| Authorized Official Name and Position | Robert L. Gattuso (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4103574500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L. Gattuso, M.d., Pa 106 Mt Carmel Road Parkton MD 21120 Ph: (410) 357-4500 | Robert L. Gattuso, M.d., Pa 106 Mt Carmel Road Parkton MD 21120 Ph: (410) 357-4500 |
| NPI Number | 1659584621 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 7517047806 |
|---|---|
| Medicare Enrollment ID | O20071227000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659584621 | NPI | - | NPPES |
| 3502 | Other | MD | BLUE CROSS BLUE SHIELD |
| 561351500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0034622 (Maryland) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Robert L Gattuso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679637979 PECOS PAC ID: 4880774173 Enrollment ID: I20071227000228 |
| Provider Name | Janine Frances Gattuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295403863 PECOS PAC ID: 7810342862 Enrollment ID: I20231011000364 |
University Of Maryland St. Joseph Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14a Mount Carmel Rd, Parkton, MD 21120 Phone: 443-491-3333 | |
Elizabeth G Schlenoff Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Mt Carmel Rd, Suite 4, Parkton, MD 21120 Phone: 410-357-5559 Fax: 410-357-0308 |