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Individual
SAMUEL A GALLO
Active
Individual
SAMUEL A GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-082078
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501524
ANTHEM
OH
05
—
2432657
—
OH
01
—
P00339703
RR MEDICARE UP
OH
Enumeration date
07/11/2006
Last updated
09/24/2021
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