Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | 2821 | MA |
Y | 213ER0200X | Radiology | 2821 | MA |
N | 111NR0200X | Radiology | 8662X | NY |
N | 213ER0200X | Radiology | 8662X | NY |
NPI | 1225087711 |
---|---|
Provider Name | James P Galeas |
First Address | West Springfield, MA 01089-2725 |
Second Address | Springfield, MA 01103-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 25/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3976967 | AETNA (01) | MA |
V04974 | (02) | MA |
Y37083 | BLUECROSS BLUESHIELD (01) | MA |