MEDICARE: ROBERT MATTHEW GALLAGHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	0101240286	VA
2	207RC0000X	Cardiovascular Disease Physician	D83649	MD
3	207R00000X	Internal Medicine Physician	D83649	MD
4	207RC0000X	Cardiovascular Disease Physician	0101240286	VA
5	207R00000X	Internal Medicine Physician	0101240286	VA

General Provider Information

NPI Number	:	1043396120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT MATTHEW GALLAGHER M.D.

Provider Business Mailing Address
First Line	:	8901 WISCONSIN AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-0004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 WISCONSIN AVE
Second Line	:	WALTER REED NATIONAL MILITARY MEDICAL CTR, CARDIOLOGY
City	:	BETHESDA
State	:	MD
Zip	:	20889-0004
Country	:	US
Telephone Number	:	301-295-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	12/03/2025

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