Healthcare Provider Details

I. General information

NPI: 1942151667
Provider Name (Legal Business Name): OMARA DURAN-GATES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 SENECA ST
FOUNTAIN HILL PA
18015-1123
US

IV. Provider business mailing address

726 SENECA ST
FOUNTAIN HILL PA
18015-1123
US

V. Phone/Fax

Practice location:
  • Phone: 610-570-3727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number1284588
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: