Individual
MR. JEFFREY P GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 OAK AVENUE, WORCESTER, MA 01605-2751
(508) 421-2010
(508) 756-8078
Mailing address
25 OAK AVENUE, WORCESTER, MA 01605-2751
(508) 421-2010
(508) 756-8078
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
81025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140334
—
MA
01
—
J31330
BLUE SHIELD
MA
Enumeration date
07/12/2006
Last updated
12/27/2022
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