Provider Demographics
NPI:1134694680
Name:GALLO, NOREEN BIRON (MS RDN LD)
Entity Type:Individual
Prefix:MS
First Name:NOREEN
Middle Name:BIRON
Last Name:GALLO
Suffix:
Gender:F
Credentials:MS RDN LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 KAREN RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1721
Mailing Address - Country:US
Mailing Address - Phone:603-553-1334
Mailing Address - Fax:
Practice Address - Street 1:9 KAREN RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1721
Practice Address - Country:US
Practice Address - Phone:603-553-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0536133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty