Healthcare Provider Details

I. General information

NPI: 1417647025
Provider Name (Legal Business Name): MALORY JANE GALLAGHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST
FOUNTAIN HILL PA
18015-1000
US

IV. Provider business mailing address

2830 EASTON AVE
BETHLEHEM PA
18017-4204
US

V. Phone/Fax

Practice location:
  • Phone: 908-325-7510
  • Fax:
Mailing address:
  • Phone: 610-470-9576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT227830
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: