Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0204X | Pediatric Emergency Doctor | 25MA09164200 | NJ |
Y | 2080P0204X | Pediatric Emergency Doctor | MD439671 | PA |
N | 2080P0204X | Pediatric Emergency Doctor | MT196411 | PA |
NPI | 1215221437 |
---|---|
Provider Name | Payal K Gala |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2011 |
Last Update Date | 16/04/2013 |