Provider Demographics
NPI:1932581865
Name:PETER H. GACH, MD, PA
Entity Type:Organization
Organization Name:PETER H. GACH, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:H
Authorized Official - Last Name:GACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-968-3330
Mailing Address - Street 1:2825 N STATE ROAD 7
Mailing Address - Street 2:#202
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5737
Mailing Address - Country:US
Mailing Address - Phone:954-968-3330
Mailing Address - Fax:954-968-3332
Practice Address - Street 1:2825 N STATE ROAD 7
Practice Address - Street 2:#202
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-968-3330
Practice Address - Fax:954-968-3332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-27
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME35398207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty