Individual
EDWARD THOMAS GALLUCCI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
7 ROGER RD, JOHNSTON, RI 02919-2248
(401) 871-0323
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
06/05/2024
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