Provider Demographics
NPI:1407923485
Name:GALLO, RODNEY R JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:R
Last Name:GALLO
Suffix:JR
Gender:M
Credentials:DPM
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Mailing Address - Street 1:179 GREAT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-5777
Mailing Address - Country:US
Mailing Address - Phone:978-635-0229
Mailing Address - Fax:978-635-0123
Practice Address - Street 1:179 GREAT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-5777
Practice Address - Country:US
Practice Address - Phone:978-635-0229
Practice Address - Fax:978-635-0123
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2012-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA1708213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist