Individual
DR. RONALD J GAILUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3640 MAIN ST, STE 201, SPRINGFIELD, MA 01107-1145
(413) 732-2333
(413) 732-8065
Mailing address
3640 MAIN ST, STE 201, SPRINGFIELD, MA 01107-1145
(413) 732-2333
(413) 732-8065
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45758
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140244
—
MA
01
—
12516
HEALTH NEW ENG
—
01
—
150656
HARVARD PILGRIM
—
01
—
608602
US HEALTHCARE
—
01
—
737950
CONNECTICARE
—
01
—
738871
TUFTS
—
01
—
N51730
BCBS MASS
—
Enumeration date
09/20/2005
Last updated
03/09/2016
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