Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MA40170 | NJ |
Y | 208600000X | Surgeon | MA40170 | NJ |
NPI | 1013909530 |
---|---|
Provider Name | Leonard Galler |
First Address | Somers Point, NJ 08244-2331 |
Second Address | Somers Point, NJ 08244-2331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 07/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3271200 | (05) | NJ |
C58881 | (02) | NJ |