Individual
DR. LARS MICHAEL GALLDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2790
(973) 754-2791
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-9590
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA09229800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0366579
—
NJ
Enumeration date
06/30/2009
Last updated
03/20/2015
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