Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 25MD00128200 | NJ |
NPI | 1033278312 |
---|---|
Provider Name | Dr. Barry Jay Gallanter |
First Address | Bayonne, NJ 07002-9200 |
Second Address | Bayonne, NJ 07002-9200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 23/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1337106 | (05) | NJ |
T44868 | (02) | NJ |