Individual
DR. DEBORAH L. GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6730 HOLABIRD AVE, BALTIMORE, MD 21222-1743
(410) 288-6226
(410) 288-9048
Mailing address
6730 HOLABIRD AVE, BALTIMORE, MD 21222-1700
(410) 288-6226
(410) 288-9048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H0055992
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110212671
MEDICARE RAILROAD
MD
05
—
156603200
—
MD
01
—
60635501
BLUE SHEILD OF MD
MD
01
—
7166165
AETNA PLANS
MD
01
—
E268-0004
FEDERAL BLUE SHIELD
MD
Enumeration date
01/04/2007
Last updated
02/11/2013
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