Provider Demographics
NPI:1962698423
Name:JOSEPH A GALL MD CHEMOTHERAPY ASSOCIATES, LTD.
Entity type:Organization
Organization Name:JOSEPH A GALL MD CHEMOTHERAPY ASSOCIATES, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-832-3960
Mailing Address - Street 1:562 SHEARER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2746
Mailing Address - Country:US
Mailing Address - Phone:724-832-3960
Mailing Address - Fax:724-836-6082
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-832-3960
Practice Address - Fax:724-836-6082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030237L173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32252Medicare UPIN