Individual
DR. PHILIP EDWARD GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2202 W 15TH ST, ERIE, PA 16505-4510
(814) 456-5341
(814) 456-5647
Mailing address
2202 W 15TH ST, ERIE, PA 16505-4510
(814) 456-5341
(814) 456-5647
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD 025120E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000808942
—
PA
01
—
10927188
CAQH
—
Enumeration date
08/10/2005
Last updated
09/04/2021
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