Provider Demographics
NPI:1235356379
Name:GALLO, ROBERT AUGUST (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:AUGUST
Last Name:GALLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30 HOPE DR BLDG A
Mailing Address - Street 2:BONE AND JOINT INSTITUTE, EC089
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2036
Mailing Address - Country:US
Mailing Address - Phone:717-531-5638
Mailing Address - Fax:717-531-7583
Practice Address - Street 1:30 HOPE DR BLDG A
Practice Address - Street 2:BONE AND JOINT INSTITUTE, EC089
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2036
Practice Address - Country:US
Practice Address - Phone:717-531-5638
Practice Address - Fax:717-531-7583
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2008-09-10
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD428807207XX0005X
NY244654207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine