Provider Demographics
NPI:1255083317
Name:GALOPE MEDICAL GROUP INC
Entity type:Organization
Organization Name:GALOPE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL / CEO / PRES
Authorized Official - Prefix:
Authorized Official - First Name:ROEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:201-773-6837
Mailing Address - Street 1:25-15 FAIR LAWN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3434
Mailing Address - Country:US
Mailing Address - Phone:201-773-6837
Mailing Address - Fax:
Practice Address - Street 1:25-15 FAIR LAWN AVE STE 7
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3434
Practice Address - Country:US
Practice Address - Phone:201-773-6837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-20
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty