Provider Demographics
NPI:1679688873
Name:GALLAGHER, HUGH S (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:S
Last Name:GALLAGHER
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 1:1202 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6202
Mailing Address - Country:US
Mailing Address - Phone:610-778-2370
Mailing Address - Fax:610-433-8951
Practice Address - Street 1:1202 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-778-2370
Practice Address - Fax:610-433-8951
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028415L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010095200006Medicaid
PA0010095200006Medicaid
PAC27761Medicare UPIN