| NPI | 1922171800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TIMOTHY GALLAGHER President 267-689-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: PA 030244E) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |