Individual
DR. ALBERTO GALLARDO CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 CENTRAL RD, BLOOMSBURG, PA 17815-3121
(570) 387-6150
(570) 387-6185
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD441806
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025588600001
—
PA
Enumeration date
06/25/2007
Last updated
08/10/2020
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