Individual
JAMES JOSEPH GALLAGHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 LEWIS AVE, SUITE 203, MERIDEN, CT 06451-2121
(203) 634-1900
(203) 237-8441
Mailing address
455 LEWIS AVE, SUITE 203, MERIDEN, CT 06451-2121
(203) 634-1900
(203) 237-8441
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
50747
CT
2086S0129X
Vascular Surgery Physician
Primary
50747
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053592964
ANTHTEM
CT
Enumeration date
11/19/2007
Last updated
06/11/2014
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