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Individual

SAMUEL A GALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6620 PERIMETER DR, STE 100, DUBLIN, OH 43016-8055
(614) 766-5438
(614) 408-8269
Mailing address
6620 PERIMETER DR, STE 100A, DUBLIN, OH 43016-8061
(614) 766-5438
(614) 408-8269

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-082078
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000501524
ANTHEM
OH
05
2432657
OH
01
P00339703
RR MEDICARE UP
OH
Enumeration date
07/11/2006
Last updated
09/24/2021
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