MEDICARE: ANGELO K GALIBER MD

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	2085B0100X	Body Imaging Physician	784	VI

General Provider Information

NPI Number	:	1326075649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELO K GALIBER MD

Provider Business Mailing Address
First Line	:	4500 SUNNY ISLE IS. MED CENTER SUITE 4B
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820
Country	:	US
Telephone Number	:	340-778-5305
Fax Number	:	340-778-2778

Provider Business Practice Location Address
First Line	:	4500 SION FARM
Second Line	:	SUITE 4B
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4423
Country	:	US
Telephone Number	:	340-778-5305
Fax Number	:	340-778-2778

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	06/03/2017

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