Individual
THOMAS J GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 BUCKNAM RD, SUITE 1D, FALMOUTH, ME 04105-1392
(207) 781-1551
(207) 781-1552
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-360
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292370099
—
ME
Enumeration date
11/22/2006
Last updated
01/24/2013
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