Individual
JOHN MICHAEL GALLAGHER
Active
Individual
JOHN MICHAEL GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS005667L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011289701
UNIVERA
NY
05
—
0011217080007
—
PA
01
—
0114567
OH MEDICAL ASSISTANCE
OH
01
—
02360263
NY MEDICAL ASSISTANCE
NY
01
—
1068883
WEST VIRGINIA WORK COMP
WV
01
—
137659
UNISON - HAMOT RADIOLOGY
PA
01
—
147584
UNISON - IMAGING CENTER
PA
01
—
1513766
GATEWAY
PA
01
—
176405
BLUE SHIELD
PA
01
—
300135755
RR MEDICARE
PA
01
—
302860
UPMC
PA
01
—
3189978
AETNA
PA
Enumeration date
07/19/2005
Last updated
05/16/2013
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