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Individual

DR. SEAN WILLIAM GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
120 KINGSTON ST, BOSTON, MA 02111-2157

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
267497
MA
207R00000X
Internal Medicine Physician
FS2328169-469
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110071765A
MA
05
267497
MA
Enumeration date
07/09/2012
Last updated
03/17/2018
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