Individual
MELISSA GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
Mailing address
19 E 27TH ST, BAYONNE, NJ 07002-4608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00265600
NJ
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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