Individual
MRS. KATHERINE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(732) 364-2144
(732) 364-3559
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(723) 364-2144
(732) 364-3559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00542400
NJ
363AM0700X
Medical Physician Assistant
MA057488
PA
363AM0700X
Medical Physician Assistant
OA003521
PA
Other
Enumeration date
03/18/2015
Last updated
06/15/2023
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