Individual
MARY JO GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
77 MILL ST, WESTFIELD, MA 01085-4598
(413) 568-6141
Mailing address
60 NASSAU DR, SPRINGFIELD, MA 01129-1411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111098
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300030
MBHP
MA
05
—
1300881
—
MA
Enumeration date
03/29/2007
Last updated
07/08/2007
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