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1194413203
THOMAS GALLAGHER
PHILADELPHIA, PA
NPI
1194413203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA064470)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
THOMAS GALLAGHER
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 800-879-2467
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Mailing Address
THOMAS GALLAGHER
11 EASTON WAY
HAINESPORT, NJ 08036-4804
Phone number: 609-850-1068
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