Provider Demographics
NPI:1609071737
Name:GALLAGHER, JOHN HUGH (MS, PT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HUGH
Last Name:GALLAGHER
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
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Mailing Address - Street 1:6 TERRY CT
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-2149
Mailing Address - Country:US
Mailing Address - Phone:201-391-3194
Mailing Address - Fax:
Practice Address - Street 1:605 MAIN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5914
Practice Address - Country:US
Practice Address - Phone:201-488-0488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022787-12251X0800X
NJ40QA01307100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic