MEDICARE: DR. NORMAN RICHARD GALEN M.D.

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
1	174400000X	Specialist	L#010942	LA

General Provider Information

NPI Number	:	1114925203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN RICHARD GALEN M.D.

Provider Business Mailing Address
First Line	:	5640 READ BLVD
Second Line	:	SUITE#720
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-3140
Country	:	US
Telephone Number	:	504-241-9189
Fax Number	:	504-241-9203

Provider Business Practice Location Address
First Line	:	5640 READ BLVD
Second Line	:	SUITE#720
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-3140
Country	:	US
Telephone Number	:	504-241-9189
Fax Number	:	504-241-9203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/09/2007

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