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NPI Code Detail

MEDICARE: DR. JACQUELINE ALIOTTA GALLUP M.D.

MEDICARE:  DR. JACQUELINE ALIOTTA GALLUP  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
12080N0001XNeonatal-Perinatal Medicine Physician290320NY
22080N0001XNeonatal-Perinatal Medicine PhysicianD0100947MD

General Provider Information

NPI Number : 1285053934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE ALIOTTA GALLUP M.D.
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-6423
Fax Number :
Provider Business Practice Location Address
First Line : 1800 ORLEANS STREET
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4830
Country : US
Telephone Number : 410-955-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2014
Last Update Date : 06/27/2024

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Directions to “ DR. JACQUELINE ALIOTTA GALLUP M.D.” Practice Location

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