Individual
SUSAN G GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN , MSN
Contact information
Practice address
25 MAIN STREET, THE CARDIOVASCULAR SPECIALIST LLC, HYANNIS, MA 02601
(508) 778-1829
(508) 778-0113
Mailing address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
172356
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0328197
—
MA
01
—
NP4101
BLUE CROSS BLUESHIELD
MA
Enumeration date
11/18/2005
Last updated
04/28/2010
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