Provider Demographics
NPI:1861647448
Name:RODNEY R. GALLO JR
Entity Type:Organization
Organization Name:RODNEY R. GALLO JR
Other - Org Name:NEW HAMPSHIRE FOOT & ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GALLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:603-432-3668
Mailing Address - Street 1:25 BUTTRICK RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3341
Mailing Address - Country:US
Mailing Address - Phone:603-432-3668
Mailing Address - Fax:603-432-3669
Practice Address - Street 1:25 BUTTRICK RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3341
Practice Address - Country:US
Practice Address - Phone:603-432-3668
Practice Address - Fax:603-432-3669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0314213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty