Individual
STACEY E GALLACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 HOWARD AVE, ROOM YPB 133, NEW HAVEN, CT 06519-1369
(203) 737-2348
(203) 737-4687
Mailing address
800 HOWARD AVE, ROOM YPB 133, NEW HAVEN, CT 06519-1369
(203) 737-2348
(203) 737-4687
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
052800
CT
207X00000X
Orthopaedic Surgery Physician
14191
RI
207X00000X
Orthopaedic Surgery Physician
LP01350
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SG92817
—
RI
Enumeration date
06/26/2008
Last updated
08/11/2014
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