Leza N Gallo, M.D.
Individual provider Active NPI Anatomic Pathology Physician · Teterboro, NJ
NPI 1083709208 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083709208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology Physician 207ZP0101X
- License
- 155749 (MA)
- Practice address
- Quest Diagnostics
1 Malcolm Avenue
Teterboro, NJ 07608 - Phone
- (201) 393-5035
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155749 | MA | MD | Anatomic Pathology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 155749 | MA | Yes |
Addresses
Primary practice location
Quest Diagnostics
1 Malcolm Avenue
Teterboro, NJ 07608
Mailing address
320 E 72ND St
#6B
New York, NY 10021-4769
Phone (201) 393-5035
Other providers in Teterboro, NJ
- Angela Eftychiadis
- Emmanuel B. Ekeh
- Caroline Mary Fischer
- Flexwellness of Teterboro
- Eugene Fulop
- Celeste Garcia
- David Garcia
- Grazyna Gawryluk
- Marina Gerber
- Alexandria Gianetti
All providers in Teterboro, NJ · Anatomic Pathology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.