Individual
LISA GALANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9501 ROOSEVELT BLVD, SUITE 312, PHILADELPHIA, PA 19114
(215) 673-7070
(215) 673-2828
Mailing address
9501 ROOSEVELT BLVD, SUITE 312, PHILADELPHIA, PA 19114
(215) 673-7070
(215) 673-2828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD030536E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001007454003
—
PA
01
—
0054329000
IBC
—
Enumeration date
08/01/2006
Last updated
04/16/2014
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