Healthcare Provider Details
I. General information
NPI: 1619017035
Provider Name (Legal Business Name): DR. GAIL SEKAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/07/2007
Last Update Date: 08/03/2016
Certification Date:
Deactivation Date: 02/07/2008
Reactivation Date: 08/03/2016
III. Provider practice location address
240 GUCKERT LN
WEXFORD PA
15090-8782
US
IV. Provider business mailing address
240 GUCKERT LN
WEXFORD PA
15090-8782
US
V. Phone/Fax
- Phone: 724-935-2772
- Fax: 724-935-9481
- Phone: 724-935-2772
- Fax: 724-935-9481
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | MD033417E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: