Individual
JACOB GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3501 N BROAD ST, PHILADELPHIA, PA 19140-4147
(800) 836-7536
Mailing address
749 N 25TH ST FL 2, PHILADELPHIA, PA 19130-2438
(484) 895-9806
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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