Individual
MR. MELVIC T GALLEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17 DECKERTOWN TPKE, WANTAGE, NJ 07461-2924
(201) 400-9361
Mailing address
17 DECKERTOWN TPKE, WANTAGE, NJ 07461-2924
(201) 400-9361
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0092371
NY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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