Individual
MICHAEL J. GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 E 3RD ST, LEWISTOWN, PA 17044-1712
(717) 242-7297
(717) 242-7741
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD-023494-E
PA
207RX0202X
Medical Oncology Physician
MD023494E
PA
2085R0001X
Radiation Oncology Physician
Primary
MD023494E
PA
2085R0203X
Therapeutic Radiology Physician
MD 023494 E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926356
—
PA
05
—
01155513
—
NY
05
—
5198607
—
NJ
Enumeration date
06/16/2005
Last updated
08/25/2020
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