Individual
MAE TAHIREH GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 NEWARK GRANVILLE RD STE 100, GRANVILLE, OH 43023
(740) 587-0087
(740) 587-0084
Mailing address
2000 NEWARK GRANVILLE RD STE 100, GRANVILLE, OH 43023-7009
(407) 587-0087
(740) 587-0084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.129901
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2015
Last updated
06/08/2018
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