MEDICARE: DR. JOSEPH JAMES GALLO DO

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	207Q00000X	Family Medicine Physician	34-007641	OH

General Provider Information

NPI Number	:	1376540195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH JAMES GALLO DO

Provider Business Mailing Address
First Line	:	2010 E MIDLOTHIAN BLVD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44502-2951
Country	:	US
Telephone Number	:	330-788-8791
Fax Number	:	330-788-4033

Provider Business Practice Location Address
First Line	:	2010 E MIDLOTHIAN BLVD
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44502-2951
Country	:	US
Telephone Number	:	330-788-8791
Fax Number	:	330-788-4033

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	12/10/2007

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