Most Relevant Information
Provider Data
NPI Number: | 1003219155 |
Provider Name: | ANALYSA GALLEGOS MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 10/03/2014 |
Last Updated: | 06/17/2016 |
Provider Practice Location
30 PROSPECT AVE
HACKENSACK
NJ
076011914
Practice Location Phone/Fax
Phone: | 5519962331 |
Fax: |
Provider Mailing Location
30 PROSPECT AVE
HACKENSACK
NJ
076011914
Provider Mailing Phone/Fax
Phone: | 5519962331 |
Fax: |