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General NPI Number Information
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NPI Number | 1750385225
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Entity Type | Individual
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Provider Name | ROBERT JAMES GALLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2005
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 130 KINDERKAMACK RD SUITE 300
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City | RIVER EDGE
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State | NJ
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Zip | 07661-1939
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Country | US
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Telephone | 201-489-2727
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Fax | 201-489-5040
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Provider Business Mailing Address
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Address Line | 452 OLD HOOK RD 2ND FLOOR
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City | EMERSON
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State | NJ
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Zip | 07630-1381
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Country | US
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Telephone | 201-666-3900
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Fax | 201-261-0505
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 25MA03553400
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License Number State | NJ
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