MEDICARE: DR. ALBERT A. GALANTE D.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	1223G0001X	General Practice Dentistry	22DI008911	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	028901-1	OTHER	NY	NY STATE DENTAL LICENSE

General Provider Information

NPI Number	:	1598976136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT A. GALANTE D.M.D.

Provider Business Mailing Address
First Line	:	261 SPRINGFIELD AVE
Second Line	:	SUITE 100
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1264
Country	:	US
Telephone Number	:	908-464-8333
Fax Number	:	908-464-0339

Provider Business Practice Location Address
First Line	:	261 SPRINGFIELD AVE
Second Line	:	SUITE 100
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1264
Country	:	US
Telephone Number	:	908-464-8333
Fax Number	:	908-464-0339

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

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	09/22/2009

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