Individual
JERROLD T. GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-2400
(207) 795-5539
Mailing address
30 BLUEBERRY CV, YARMOUTH, ME 04096-6526
(207) 847-3574
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
017280
ME
2085R0202X
Diagnostic Radiology Physician
24823
KY
Other
Enumeration date
05/19/2006
Last updated
08/27/2007
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