Healthcare Provider Details

I. General information

NPI: 1831400761
Provider Name (Legal Business Name): GILBERT ALEXANDER FLEMING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 06/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 EAST RIDGE STREET
HARPERS FERRY WV
25425-1260
US

IV. Provider business mailing address

PO BOX 1260
HARPERS FERRY WV
25425-1260
US

V. Phone/Fax

Practice location:
  • Phone: 304-535-3037
  • Fax: 304-535-3166
Mailing address:
  • Phone: 304-535-3037
  • Fax: 304-535-3166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD0028049
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: