Healthcare Provider Details

I. General information

NPI: 1770600652
Provider Name (Legal Business Name): GABRIEL R GALANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 WERTZ AVENUE NW SUITE C
CANTON OH
44708
US

IV. Provider business mailing address

128 WERTZ AVENUE NW SUITE C
CANTON OH
44708
US

V. Phone/Fax

Practice location:
  • Phone: 330-454-7722
  • Fax: 330-454-7834
Mailing address:
  • Phone: 330-454-7722
  • Fax: 330-454-7834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35.091970
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: