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Individual

ROBERT C GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-9333
(860) 714-8612
Mailing address
PO BOX 33440, HARTFORD, CT 06150-3440
(860) 522-7181
(860) 278-3357

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
026739
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001267394
CT
01
010026739CT04
ANTHEM BLUECROSS/BS
CT
01
026739
CONNECTICARE
CT
01
061028513
COMMUNITY HEALTH NTWK
CT
01
1604743
CIGNA HEALTHPLAN
CT
01
2806564
AETNA HMO
CT
01
330004788
RAILROAD MEDICARE
CT
01
4138731
AETNA HEALTHPLAN
CT
01
OV7703
HEALTHNET OF NE
CT
01
P1150301
OXFORD HEALTHPLAN
CT
Enumeration date
07/13/2005
Last updated
06/15/2021
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