Individual
RANDY A GALLOGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
26 BALTIC RD, NORTH FRANKLIN, CT 06254-1402
(860) 694-2117
Mailing address
26 BALTIC RD, NORTH FRANKLIN, CT 06254-1402
(860) 867-7514
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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