NPI | 1184630717 |
---|---|
Doing Business As | EZRA L. GALLER, M.D. |
Entity Type | Organization |
Authorized Contact | EZRA L GALLER Owner/Provider 401-728-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI 9005) |
Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00496) |
152W00000X Optometrist (Licence: RI ODTA00502) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2012-02-23 |