Individual
DR. MICHAEL F GALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Mailing address
36 W LAKE RD, MEDFORD, NJ 08055-8104
(856) 797-7922
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
OEG001315
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2248
HMO
PA
01
—
BLUE SHIELD
186014
PA
Enumeration date
09/26/2006
Last updated
02/15/2012
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