Individual
RYAN GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-8000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3741
LICENSE
MA
Enumeration date
03/25/2009
Last updated
03/25/2009
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