MEDICARE: LAMBERTO T GALANG 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	207Q00000X	Family Medicine Physician	35-039079	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659376309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAMBERTO T GALANG M.D.

Provider Business Mailing Address
First Line	:	1459 SUPERIOR AVE NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-1964
Country	:	US
Telephone Number	:	330-588-4892
Fax Number	:	330-588-4895

Provider Business Practice Location Address
First Line	:	1459 SUPERIOR AVE NE
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44705-1964
Country	:	US
Telephone Number	:	330-588-4892
Fax Number	:	330-588-4895

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

Provider Enumeration Date	:	06/18/2005
Last Update Date	:	07/03/2019

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