Provider Demographics
NPI:1750385225
Name:GALLO, ROBERT JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:GALLO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:452 OLD HOOK RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1381
Mailing Address - Country:US
Mailing Address - Phone:201-666-3900
Mailing Address - Fax:201-261-0505
Practice Address - Street 1:130 KINDERKAMACK RD
Practice Address - Street 2:SUITE 300
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1939
Practice Address - Country:US
Practice Address - Phone:201-489-2727
Practice Address - Fax:201-489-5040
Is Sole Proprietor?:No
Enumeration Date:2005-06-11
Last Update Date:2015-07-21
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03553400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC63127Medicare UPIN