Individual
MICHAEL ANGELO GAGLIA JR.
Active
Individual
MICHAEL ANGELO GAGLIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD426137
PA
207RC0000X
Cardiovascular Disease Physician
A122707
CA
207RC0000X
Cardiovascular Disease Physician
MD426137
PA
207RI0011X
Interventional Cardiology Physician
310562
LA
207RI0011X
Interventional Cardiology Physician
MD2016-0785
NM
207RI0011X
Interventional Cardiology Physician
Primary
MD426137
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012944350003
—
PA
01
—
1902846306
GROUP NPI
CA
05
—
3810003910
—
WV
01
—
GR0100430
GROUP MEDI-CAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
02/09/2006
Last updated
10/18/2023
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