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Individual

JOSEPH P GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
360 BROADWAY STE 100, BANGOR, ME 04401-3985
(207) 907-3550
(207) 907-3562
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8560
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2014-02357
NC
207RG0100X
Gastroenterology Physician
Primary
MD24310
ME

Other

Enumeration date
02/25/2008
Last updated
12/30/2020
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