Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 10174677A | IN |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME140163 | FL |
NPI | 1265697973 |
---|---|
Provider Name | Dr. Sidhbh Gallagher |
First Address | Miami, FL 33133 |
Second Address | Miami Beach, FL 33133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2008 |
Last Update Date | 12/05/2021 |