Ezra L. Galler, M.D.

LBN: Ezra L. Galler, M.D., Ltd.
Ezra L. Galler, M.D. is an health care organization with primary practice located at 100 Highland Avenue Suite 304, Providence RI 02906. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Ezra L. Galler, M.D., Ltd. can be contacted via phone (401) 728-1400, or through Galler, Ezra L via phone (401) 728-1400.

Contact Information

Primary practice address
100 Highland Avenue Suite 304 Providence RI 02906
Phone: (401) 728-1400
Fax: (401) 270-9623
Website:
Map and Directions
Authorized official contact:
Name: Galler, Ezra L Doctor of Medicine (MD)
Phone: (401) 728-1400

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTG00496 Rhode Island
Eye and Vision Services Providers / Optometrist 152W00000X ODTA00502 Rhode Island
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9005 Rhode Island

Profile Details

NPI number 1184630717
LBN Legal business name Ezra L. Galler, M.D., Ltd.
DBA Doing business as Ezra L. Galler, M.D.
Authorized official Galler, Ezra L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184630717 NPPES
Rhode Island MEDICAID 9025861

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