NPI 1063470557

Jacqueline Gallagher, PA

Practitioner Physician Assistant Berlin, VT

Practice location

Address: 130 Fisher Rd Emergency Dept, Berlin, VT 05602-9516
Phone: (802) 371-4365
Fax: (802) 371-4481
Mailing address: PO Box 547 Att: Cvmc Finance Dept, Barre, VT 05641-0547

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 055.0031114 (VT)

Other Physician Assistant providers in Vermont →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 586 (MA)

Registry record

NPI: 1063470557
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2006
Record last updated: 15 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.