Provider Demographics
NPI:1629021779
Name:GALOPE, ROEL P (DO)
Entity Type:Individual
Prefix:
First Name:ROEL
Middle Name:P
Last Name:GALOPE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-3202
Mailing Address - Country:US
Mailing Address - Phone:201-658-8031
Mailing Address - Fax:
Practice Address - Street 1:141 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-3202
Practice Address - Country:US
Practice Address - Phone:201-658-8031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MBO7836600208D00000X
NJ25MB07836600174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ100709SASMedicare ID - Type Unspecified