Provider Demographics
NPI:1487600433
Name:GALOTTO, JOHN ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ANTHONY
Last Name:GALOTTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5225 POOKS HILL RD
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2052
Mailing Address - Country:US
Mailing Address - Phone:301-897-8550
Mailing Address - Fax:301-897-8554
Practice Address - Street 1:5225 POOKS HILL RD
Practice Address - Street 2:SUITE 1-A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2052
Practice Address - Country:US
Practice Address - Phone:301-897-8550
Practice Address - Fax:301-897-8554
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0011921207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G0056Medicare ID - Type Unspecified
B93378Medicare UPIN