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NPI 1124020052

NPI 1124020052 : DAVID HERSCHEL GALLINSON D.O. : LIVINGSTON, NJ

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General NPI Number Information
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    NPI Number           |    1124020052
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID HERSCHEL GALLINSON D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/11/2005
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    Last Update Date     |    01/08/2025
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Provider Practice Location Address
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    Address Line         |    94 OLD SHORT HILLS RD 
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    City                 |    LIVINGSTON
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    State                |    NJ
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    Zip                  |    07039-5672
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    Country              |    US
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    Telephone            |    973-322-5200
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    Fax                  |    973-322-8092
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Provider Business Mailing Address
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    Address Line         |    94 OLD SHORT HILLS RD 
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    City                 |    LIVINGSTON
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    State                |    NJ
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    Zip                  |    07039-5672
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    Country              |    US
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    Telephone            |    973-322-5200
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    Fax                  |    973-322-8092
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    MB077400
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    License Number State |    NJ
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