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Individual

EDWARD J GALLAGHER

Active
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Individual

EDWARD J GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA03779100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0075655000
AMERIHEALTH / KEYSTONE
NJ
01
1081543
HORIZON NJ HEALTH
NJ
01
1095619001
CIGNA
01
19073
MHCS
05
2180103
NJ
01
222445694
TAX ID
NJ
01
250002696
RAILROAD MEDICARE
NJ
01
30017393
KEYSTONE MERCY
01
4238146
AETNA
01
63810
PA BLUE SHIELD
01
824095
CCN
01
F01765
HEALTHNET
01
JS181
OXFORD
Enumeration date
06/14/2006
Last updated
07/21/2025
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