Individual
J. (JOHN) ROBERT GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JR. M.D. M.P.H.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL MEDICINE DEPT, HARTFORD, CT 06102-5037
(860) 545-0200
Mailing address
P.O. BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12704
CT
2083A0100X
Aerospace Medicine Physician
12704
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001127042
—
CT
Enumeration date
03/26/2007
Last updated
09/21/2011
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