Individual
DR. MARY ELLEN GALLAGHER
Active
Individual
DR. MARY ELLEN GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01235679
VA
208000000X
Pediatrics Physician
0123579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138532
ANTHEM BC/BS
VA
01
—
2130006
MAMSI/ALLIANCE PEDIATRIC
VA
01
—
2230846
GREAT WEST
VA
01
—
30-0212850
VIRGINIA HEALTH NETWORK
VA
01
—
3555510
AETNA HMO
VA
01
—
4130006
MAMSI/ALLIANCE INT.MED.
VA
01
—
5539725
CCN
VA
01
—
7668476
AETNA PPO
VA
01
—
J828-0001
CAREFIRST BC/BS
VA
Enumeration date
07/18/2005
Last updated
04/17/2013
Update your record
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