Provider Demographics
NPI:1124017504
Name:GALANTE, ANNE L (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:L
Last Name:GALANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S MAIN ST
Mailing Address - Street 2:GIFFORD MEDICAL CENTER
Mailing Address - City:RANDOLPH
Mailing Address - State:VT
Mailing Address - Zip Code:05060-1381
Mailing Address - Country:US
Mailing Address - Phone:802-728-2401
Mailing Address - Fax:802-728-2398
Practice Address - Street 1:44 S MAIN ST
Practice Address - Street 2:GIFFORD MEDICAL CENTER
Practice Address - City:RANDOLPH
Practice Address - State:VT
Practice Address - Zip Code:05060-1381
Practice Address - Country:US
Practice Address - Phone:802-728-2401
Practice Address - Fax:802-728-2398
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420010444207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1009049Medicaid
H70722Medicare UPIN
VN3017Medicare ID - Type Unspecified