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DR. CORNELIA LUCIA GALLO MD

Physicians Psychiatry & Neurology Child & Adolescent Psychiatry

Provider NPI: 1023211653

Provider Information:
DR. CORNELIA LUCIA GALLO MD
Gender: M
Sole Proprietor

Practice Location:
19 COMPO RD S  WESTPORT, CT 06880-4319 US
Tel: 203-226-3134  Fax: 203-259-4916

Business Mailing Address:
8 BARBARA PL  WESTPORT, CT 06880-4164 US
Tel: 203-254-3828  Fax: 203-259-4916

NPI Information:
NPI: 1023211653
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0804XPhysicians
Psychiatry & Neurology
Child & Adolescent Psychiatry
CT034522

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2084P0804X

Type:

Classification:



Definition:



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