MEDICARE: MR. MICHAEL JERRY GALATIS RN

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	163W00000X	Registered Nurse	129220	MA

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	:	1932243110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL JERRY GALATIS RN

Provider Business Mailing Address
First Line	:	25 MALL RD
Second Line	:	SUITE 300
City	:	BURLINGTON
State	:	MA
Zip	:	01803-4100
Country	:	US
Telephone Number	:	617-416-9591
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 MALL RD
Second Line	:	SUITE 300
City	:	BURLINGTON
State	:	MA
Zip	:	01803-4100
Country	:	US
Telephone Number	:	617-416-9591
Fax Number	:

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

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	07/09/2007

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