Most Relevant Information
Provider Data
| NPI Number: | 1003261819 |
| Provider Name: | JAMIE GALLAGHER |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2016 |
| Last Updated: | 04/29/2016 |
Provider Practice Location
521 GREENHILL LN
PHILADELPHIA
PA
191281060
Practice Location Phone/Fax
| Phone: | 2679723643 |
| Fax: |
Provider Mailing Location
521 GREENHILL LN
PHILADELPHIA
PA
191281060
Provider Mailing Phone/Fax
| Phone: | 2679723643 |
| Fax: |