Individual
DR. ELLEN M GALLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2052
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1017722
MA
207RC0000X
Cardiovascular Disease Physician
9953A
WY
207RI0011X
Interventional Cardiology Physician
1017722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127599200
—
WY
Enumeration date
07/10/2006
Last updated
02/07/2024
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