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NPI Code Detail

MEDICARE: DR. AVI STERNSTEIN GALLER M.D.

MEDICARE: DR. AVI STERNSTEIN GALLER 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
1208C00000XColon & Rectal Surgery Physician25MA09053500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538377726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AVI STERNSTEIN GALLER M.D.
Provider Business Mailing Address
First Line : 711 S LEITHGOW ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19147-3114
Country : US
Telephone Number : 215-935-6374
Fax Number :
Provider Business Practice Location Address
First Line : 200 BOWMAN DR STE E366
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-9639
Country : US
Telephone Number : 856-247-7295
Fax Number : 856-247-7118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2007
Last Update Date : 04/23/2025

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