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NPI Code Detail

MEDICARE: GREGORY J GALLINA M.D.

MEDICARE: GREGORY J GALLINA 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
1208600000XSurgery PhysicianMA 62495NJ
2208C00000XColon & Rectal Surgery PhysicianMA62495NJ

General Provider Information

NPI Number : 1356437198
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY J GALLINA M.D.
Provider Business Mailing Address
First Line : 35 GORGA PL
Second Line :
City : TOWNSHIP OF WASHINGTON
State : NJ
Zip : 07676-3805
Country : US
Telephone Number : 201-525-1031
Fax Number :
Provider Business Practice Location Address
First Line : 255 W SPRING VALLEY AVE
Second Line : # 103
City : MAYWOOD
State : NJ
Zip : 07607-1445
Country : US
Telephone Number : 201-525-1031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 04/01/2011

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