Individual
DR. JACOB RYAN GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
80 MILL RIVER STREET, SUITE 2400-C, STAMFORD, CT 06902
(203) 585-9580
Mailing address
80 MILL RIVER STREET, SUITE 2400-C, STAMFORD, CT 06902
(203) 585-9580
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
69540
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2018
Last updated
03/10/2025
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