Provider Demographics
NPI:1306003652
Name:ARMSTRONG, GEMMA MELANIE (DO)
Entity type:Individual
Prefix:
First Name:GEMMA
Middle Name:MELANIE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:GEMMA
Other - Middle Name:M
Other - Last Name:ARIAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:CONOWINGO
Mailing Address - State:MD
Mailing Address - Zip Code:21918-0099
Mailing Address - Country:US
Mailing Address - Phone:410-378-9696
Mailing Address - Fax:410-378-0787
Practice Address - Street 1:253 LEWIS LN
Practice Address - Street 2:SUITE 202
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3750
Practice Address - Country:US
Practice Address - Phone:443-502-7060
Practice Address - Fax:410-378-9922
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH77365207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD102577005Medicaid