Individual
KEITH GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(267) 350-4800
(215) 754-0969
Mailing address
1919 COTTMAN AVE, PHILADELPHIA, PA 19111-3816
(267) 350-4800
(215) 754-0969
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
180967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992190763
—
MD
Enumeration date
03/30/2015
Last updated
04/30/2025
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