Randy A Gallogly, IDC
Individual provider Active NPI Independent Duty Corpsman · North Franklin, CT
NPI 1356580930 · NPPES record last updated Feb 5, 2009
Key facts
- NPI
- 1356580930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Corpsman 1710I1002X
- Practice address
- 26 Baltic Rd
North Franklin, CT 06254-1402 - Phone
- (860) 694-2117
- NPI assigned
- Feb 5, 2009
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Yes |
Addresses
Primary practice location
26 Baltic Rd
North Franklin, CT 06254-1402
Mailing address
26 Baltic Rd
North Franklin, CT 06254-1402
Phone (860) 867-7514
Other providers in North Franklin, CT
- Meghan Fink
- Marissa L Fleury
- Franklin Board of Education
- Franklin Professional Counseling Center LLC
- Gary Richard Frye
- Oksana Gauthier
- Leigh Giffault
- Macy Gleason
- Daniel T Glenney
- Kimberly Nicole Godin
All providers in North Franklin, CT · Independent Duty Corpsman in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2009. 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.