Individual
DR. JAN DAVID GALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE ST, DEPT. CARDIAC SURGERY, SUITE 5200, ENGLEWOOD, NJ 07631-1808
(201) 894-3636
(201) 541-2188
Mailing address
350 ENGLE ST, DEPT. CARDIAC SURGERY, SUITE 5200, ENGLEWOOD, NJ 07631-1808
(201) 894-3636
(201) 541-2188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07969200
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA07969200
NJ
Other
Enumeration date
04/11/2008
Last updated
07/25/2012
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