Provider Demographics
NPI:1275502114
Name:GALEOS, WARREN L (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:L
Last Name:GALEOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:12 LAWRENCE RD STE 202
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2822
Practice Address - Country:US
Practice Address - Phone:973-383-9966
Practice Address - Fax:973-383-7772
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA03990900207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1832905Medicaid
NJ062716DSVMedicare PIN
NJC55619Medicare UPIN