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NPI Code Detail

MEDICARE: DR. TIMOTHY WILLIAM GALLAGHER DC

MEDICARE: DR. TIMOTHY WILLIAM GALLAGHER DC
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
1111N00000XChiropractor2172MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1774841OTHERTUFTS
2210112OTHERAMERICAN SPECIAL
3Y3653COTHERBC BS

General Provider Information

NPI Number : 1245320886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY WILLIAM GALLAGHER DC
Provider Business Mailing Address
First Line : 54 WILLIAM STREET
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3276
Country : US
Telephone Number : 978-537-0555
Fax Number : 978-537-2193
Provider Business Practice Location Address
First Line : 54 WILLIAM STREET
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3276
Country : US
Telephone Number : 978-537-0555
Fax Number : 978-537-2193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 02/19/2010

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