MEDICARE: GALLAGHER & GALLAGHER

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	1223G0001X	General Practice Dentistry		PA

General Provider Information

NPI Number	:	1093832313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALLAGHER & GALLAGHER

Provider Business Mailing Address
First Line	:	2 E CHESTNUT HILL AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2715
Country	:	US
Telephone Number	:	215-242-6404
Fax Number	:	215-242-4907

Provider Business Practice Location Address
First Line	:	2 E CHESTNUT HILL AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19118-2715
Country	:	US
Telephone Number	:	215-242-6404
Fax Number	:	215-242-4907

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ROBIN F GALLAGHER
Credential	:	D.M.D.
Telephone Number	:	215-242-6404

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/21/2022

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Directions to “GALLAGHER & GALLAGHER ” Practice Location

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