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Contact Information

ADAM A GALLUCCI, MD
201 CHESTNUT HILL RD
STAFFORD SPRINGS, CT06076-4005
 Phone: 860-684-8424
 Fax: 860-684-8460
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ADAM A GALLUCCI · (Male)

NPI Number 1598720781
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 01/05/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 54183
  • MA Medicaid 6192904
  • MA Other J04334 BLUESHIELD
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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