Individual
DR. KIMBERLY MAZZEI GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35141 ATLANTIC AVE UNIT 1, MILLVILLE, DE 19967-6954
(302) 537-3740
(302) 537-3744
Mailing address
PO BOX 3012, WILMINGTON, DE 19804
(800) 456-4629
(302) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C10005489
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001130401
—
DE
Enumeration date
06/21/2006
Last updated
07/08/2010
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