Organization
EZRA L. GALLER, M.D., LTD.
Active
Other names
Ezra L. Galler, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA L GALLER MD (OWNER/PROVIDER)
(401) 728-1400
Entity
Organization
Contact information
Practice address
100 HIGHLAND AVENUE, SUITE 304, PROVIDENCE, RI 02906
(401) 728-1400
(401) 270-9623
Mailing address
100 HIGHLAND AVENUE, SUITE 304, PROVIDENCE, RI 02865
(401) 728-1400
(401) 270-9623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODTA00502
RI
152W00000X
Optometrist
ODTG00496
RI
207W00000X
Ophthalmology Physician
Primary
9005
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025861
—
RI
Enumeration date
08/01/2006
Last updated
05/14/2026
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