Healthcare Provider Details

I. General information

NPI: 1063467991
Provider Name (Legal Business Name): GALLER & FEINBERG SURGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 06/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

718 SHORE RD
SOMERS POINT NJ
08244-2331
US

IV. Provider business mailing address

718 SHORE RD
SOMERS POINT NJ
08244-2331
US

V. Phone/Fax

Practice location:
  • Phone: 609-927-8550
  • Fax: 609-926-0273
Mailing address:
  • Phone: 609-927-8550
  • Fax: 609-926-0273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: LEONARD GALLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 609-927-8550