Galler, Ezra Louis L.

Galler, Ezra Louis L. is an sole proprietor health care provider with primary practice located at 100 Highland Ave Suite 304, Providence RI 02906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Eye and Vision Services Providers / Optometrist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Galler, Ezra Louis L. can be contacted via phone (401) 728-1400.

Contact Information

Primary practice address
100 Highland Ave Suite 304 Providence RI 02906
Phone: (401) 728-1400
Fax: (401) 270-9623
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9005 Rhode Island
Eye and Vision Services Providers / Optometrist 152W00000X 00496 Rhode Island
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 79430 Massachusetts

Profile Details

NPI number 1336107382
LBN Legal business name Galler, Ezra Louis L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Mar 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336107382 NPPES
Rhode Island MEDICAID 207

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