Individual
JOHN GALLAGHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 MAIN ST, SUITE 3, ESSEX JUNCTION, VT 05452-3191
(802) 879-1802
(802) 878-6131
Mailing address
PO BOX 156, JERICHO, VT 05465-0156
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
VT 7040
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006013
BCBS
VT
05
—
0006013
—
VT
01
—
16V014
MVP
VT
01
—
5213101
VERMONT MANAGED CARE
VT
Enumeration date
12/29/2005
Last updated
07/08/2007
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