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1972542280 NPI number — THOMAS J GALLAGHER DO

NPI Number: 1972542280
Health Care Provider/Practitioner: THOMAS J GALLAGHER DO

Information about “1972542280” NPI (THOMAS J GALLAGHER DO) exists in 1972542280 in HTML format HTML  |  1972542280 in plain Text format TXT  |  1972542280 in PDF (Portable Document Format) PDF  |  1972542280 in an XML format XML  formats.

NPI Number : 1972542280 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972542280",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GALLAGHER",
    "FirstName": "THOMAS",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "901 ROUTE 168",
    "SecondLineMailingAddress": "WASHINGTON PROFESSIONAL CAMPUS II, SUITES 301-305",
    "MailingAddressCityName": "TURNERSVILLE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08012-3210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "856-374-4031",
    "MailingAddressFaxNumber": "856-232-9139",
    "FirstLinePracticeLocationAddress": "901 ROUTE 168",
    "SecondLinePracticeLocationAddress": "WASHINGTON PROFESSIONAL CAMPUS II, SUITES 301-305",
    "PracticeLocationAddressCityName": "TURNERSVILLE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08012-3210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "856-374-4031",
    "PracticeLocationAddressFaxNumber": "856-232-9139",
    "EnumerationDate": "06/05/2006",
    "LastUpdateDate": "05/24/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2085R0202X",
        "TaxonomyName": "Diagnostic Radiology Physician",
        "LicenseNumber": "25MB07834500",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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