Gattuso, Robert Leroy
Gattuso, Robert Leroy is an sole proprietor health care provider with primary practice located at 106 Mount Carmel Rd , Parkton MD 21120-9723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gattuso, Robert Leroy can be contacted via phone (410) 357-4500.Contact Information
Primary practice address
106 Mount Carmel Rd
Parkton MD 21120-9723
Phone: (410) 357-4500
Fax: (410) 357-4570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 70600 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0034622 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0034622 | Maryland |
Profile Details
| NPI number | 1679637979 |
|---|---|
| LBN Legal business name | Gattuso, Robert Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2006 |
| Last updated | May 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679637979 | NPPES |
| Maryland | MEDICAID | 561351500 | |
| Maryland | Other | 3502 |
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