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Individual

DOUGLAS GALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 MOODY ST, SACO, ME 04072-1536
(207) 294-4657
Mailing address
11 BURNHAM WOODS CIR, SCARBOROUGH, ME 04074-8820

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
014249
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
314090099
ME
Enumeration date
07/22/2006
Last updated
06/25/2013
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