Individual
JESSICA M GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
17-17 ROUTE 208, FAIR LAWN, NJ 07410-2820
(201) 345-7557
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00668200
NJ
Other
Enumeration date
07/01/2021
Last updated
01/05/2026
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