Individual
MR. MARK S GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 MAIN STREET, OGDENSBURG, NJ 07439
(973) 827-8801
(973) 827-1942
Mailing address
79 MAIN STREET, OGDENSBURG, NJ 07439
(973) 827-8801
(973) 827-1942
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411502
—
NJ
Enumeration date
08/07/2006
Last updated
04/01/2008
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