Provider Demographics
NPI:1699539205
Name:RUMGAY, GABRIELLA RENEA
Entity type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:RENEA
Last Name:RUMGAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-7712
Mailing Address - Country:US
Mailing Address - Phone:301-876-1865
Mailing Address - Fax:
Practice Address - Street 1:6 WALKER RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-7712
Practice Address - Country:US
Practice Address - Phone:301-876-1865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant