Doctor Name: | DR. BARRY JAY GALLANTER |
NPI Number: | 1033278312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD00128200 |
Business Practice Address: | 138 W 56th St Bayonne, NJ - 070029200 |
Business Phone Number: | 2018232778 |
Business Fax Number: | 2018231019 |
Mailing Address: | 138 W 56th St, BAYONNE |
State: | NJ |
Postal Code: | 070029200 |
Phone Number: | 2018232778 |
Fax Number: | 2018231019 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 25MD00128200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |