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Gateway Healthcare, Inc — NPI 1477583706, Pawtucket, RI | NPI Central

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NPI 1477583706

OrganizationActive

Gateway Healthcare, Inc

NPI 1477583706 · Specialist · Pawtucket, RI

Provider details

NPI number: 1477583706
Entity type: Organization
Primary specialty: SpecialistOther Service Providers
Authorized official: Pedro Tactacan, Cred Coordinator
License: MD100002 (RI)

Practice location

249 Roosevelt Ave

Ste 205

Pawtucket, RI 02860-2134

Phone: (401) 724-8400

Fax: (401) 365-1100

More RI providers

Mailing address

249 Roosevelt Ave

Pawtucket, RI 02860-2134

Registry dates

Enumerated: 2006-07-03
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.