Gallo, Richard Justin

Gallo, Richard Justin is an individual health care provider with primary practice located at 1625 Anderson Ave , Fort Lee NJ 07024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gallo, Richard Justin can be contacted via phone (201) 944-7676.

Contact Information

Primary practice address
1625 Anderson Ave Fort Lee NJ 07024
Phone: (201) 944-7676
Fax: (201) 944-9452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA54263 New Jersey

Profile Details

NPI number 1144306317
LBN Legal business name Gallo, Richard Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Sep 20th, 2012 - about 12 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 1144306317 NPPES
New Jersey MEDICAID 4992806

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