# GALILEO MEDICAL GROUP MID-ATLANTIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508619891
- **Authorized official:** THOMAS LEE MD (PRESIDENT)
- **Authorized official phone:** (347) 588-0601

## Contact information

- **Practice address:** 632 BROADWAY PH, NEW YORK, NY 10012-2614
- **Practice address phone:** (347) 588-0601
- **Mailing address:** 64 BLEECKER ST \# 151, NEW YORK, NY 10012-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 04/08/2024