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Contact Information

JACOB R GALLAGHER, DO
80 MILL RIVER STREET
SUITE 2400-C
STAMFORD, CT06902
 Phone: 203-585-9580
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JACOB R GALLAGHER · (Male)

NPI Number 1902394752
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/26/2018
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 69540
Hospital affiliation(s) Not Available
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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