Individual
ANTHONY LOUIS GALLO JR.
Active
Individual
ANTHONY LOUIS GALLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
MD11767
RI
2084P0800X
Psychiatry Physician
200535
MA
2084P0800X
Psychiatry Physician
Primary
MD11767
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082811
—
MA
01
—
42258
HEALTHNET
MA
01
—
616882
TUFTS
MA
01
—
J40884
BLUE CROSS
MA
Enumeration date
06/03/2006
Last updated
02/12/2025
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