Individual
DR. LEO E GALLIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 HIGHWAY 70, BRICK, NJ 08723-4022
(732) 920-1551
(732) 920-2941
Mailing address
1632 WINSTON CT, TOMS RIVER, NJ 08755-1406
(732) 341-8384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA03004800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110172483
RAILROAD MEDICARE
NJ
01
—
1K1006
HEALTHNET
NJ
01
—
223360408-001
QUALCARE
NJ
05
—
4703201
—
NJ
01
—
P452566
OXFORD
NJ
Enumeration date
02/08/2006
Last updated
07/08/2007
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