Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | MD00002196 | NJ |
N | 222Z00000X | Podiatrist | MD00002196 | NJ |
Y | 213E00000X | Podiatrist | MD0002196 | NJ |
Y | 222Z00000X | Podiatrist | MD0002196 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | MD00002196 | NJ |
N | 2081S0010X | Sports Medicine | MD00002196 | NJ |
N | 213ES0000X | Sports Medicine | MD00002196 | NJ |
N | 213ES0131X | Foot Surgery | MD00002196 | NJ |
NPI | 1356454078 |
---|---|
Provider Name | Dr. John Mitchell Galant |
First Address | Tenafly, NJ 07670-1041 |
Second Address | Tenafly, NJ 07670-1041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 06/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U43304 | (02) | NJ |