Organization
BALDWIN PEDIATRICS, GERARD P GALLE, M. D.
Active
Other names
Gerard P Galle, M. D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD PAUL GALLE SR. M. D. (PRESIDENT)
(251) 626-1861
Entity
Organization
Contact information
Practice address
1290 MAIN ST, C, DAPHNE, AL 36526-8623
(251) 626-1861
(251) 621-0540
Mailing address
PO BOX 336, MONTROSE, AL 36559-0336
(251) 626-1861
(251) 621-0540
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9862
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51032304
BLUE CROSS BLUE SHIELD
AL
01
—
5411047
AETNA PROVIDER NUMBER
AL
Enumeration date
12/27/2006
Last updated
11/20/2012
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