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Individual

JAMES JOSEPH GALLAGHER JR.

Active
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Individual

JAMES JOSEPH GALLAGHER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
022033
CT
208600000X
Surgery Physician
022033
CT
2086S0129X
Vascular Surgery Physician
Primary
022033
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001220334
—
CT
01
—
010022033CT01
ANTHEM BCBS
CT
01
—
0210721 001
CIGNA
CT
01
—
06-1406459
GREAT-WEST HEALTHCARE
CT
01
—
070447
CONNECTICARE
CT
01
—
0S2190
HEALTH NET
CT
01
—
12522
HEALTH NEW ENGLAND
CT
05
—
3163636
—
MA
01
—
783256
AETNA
CT
01
—
P958509
OXFORD
CT
Enumeration date
08/22/2005
Last updated
03/21/2011
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