Individual
JAMES JOSEPH GALLAGHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 409, HARTFORD, CT 06106-5501
(860) 522-4158
(860) 524-2652
Mailing address
85 SEYMOUR ST, SUITE 409, HARTFORD, CT 06106-5501
(860) 522-4158
(860) 524-2652
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
HMC, PPO
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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