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Individual

MR. JAMES WILLIAM GALLAGHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
41 MALL ROAD PROVIDER ENROLLMENT DEPT, PROVIDER ENROLLMENT DEPT., 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
(781) 744-5433
Mailing address
41 MALL ROAD PROVIDER ENROLLMENT DEPT, LAHEY HOSPITAL AND MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8085
(781) 744-5433

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/09/2010
Last updated
03/17/2016
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