Individual
DR. KEVIN A. GALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
309 ROCK AVE, GREEN BROOK, NJ 08812-2616
(732) 968-3900
(732) 968-3944
Mailing address
20 DEER PATH CIR, GREEN BROOK, NJ 08812-2048
(908) 510-8051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC03899
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0454734000
AMERIHEALTH ID
NJ
01
—
541472
AETNA ID
NJ
01
—
P406638
INSURANCE ID OXFORD
NJ
Enumeration date
08/17/2006
Last updated
04/01/2008
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