Provider Demographics
NPI:1831506526
Name:NEW HAMPSHIRE FOOT AND ANKLE PLLC
Entity type:Organization
Organization Name:NEW HAMPSHIRE FOOT AND ANKLE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:603-432-3668
Mailing Address - Street 1:25 BUTTRICK RD STE D1
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3353
Mailing Address - Country:US
Mailing Address - Phone:603-432-3668
Mailing Address - Fax:
Practice Address - Street 1:25 BUTTRICK RD STE D1
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3353
Practice Address - Country:US
Practice Address - Phone:603-432-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty