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NPI Code Detail

MEDICARE: JOHN L GALLIANO CPED, CFO

MEDICARE: JOHN L GALLIANO CPED, CFO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225000000XOrthotic Fitter
2224L00000XPedorthistCPED4655VA

General Provider Information

NPI Number : 1023762515
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN L GALLIANO CPED, CFO
Provider Business Mailing Address
First Line : 433 NETWORK STA
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3851
Country : US
Telephone Number : 757-892-5300
Fax Number :
Provider Business Practice Location Address
First Line : 433 NETWORK STA
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-3851
Country : US
Telephone Number : 757-892-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2022
Last Update Date : 03/12/2025

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