Provider Demographics
NPI:1043236508
Name:GALLAGHER, JENNIFER HOPE (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HOPE
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:DINTINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3402 WILLIAM FLYNN HWY
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-3801
Mailing Address - Country:US
Mailing Address - Phone:412-486-3181
Mailing Address - Fax:412-487-3565
Practice Address - Street 1:3402 WILLIAM FLYNN HWY
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-3801
Practice Address - Country:US
Practice Address - Phone:412-486-3181
Practice Address - Fax:412-487-3565
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012744207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI51360Medicare UPIN
PA100148KL5Medicare ID - Type Unspecified