Basic Information
Provider Information
NPI: 1235372855
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALANINA
FirstName: NATALIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 232410
Address2: WATERBURY HOSPITAL
City: SAN DIEGO
State: CA
PostalCode: 921932410
CountryCode: US
TelephoneNumber: 8585343804
FaxNumber:  
Practice Location
Address1: 64 ROBBINS STREET
Address2: WATERBURY HOSPITAL
City: WATERBURY
State: CT
PostalCode: 06708
CountryCode: US
TelephoneNumber: 2035736574
FaxNumber: 2035736213
Other Information
ProviderEnumerationDate: 04/13/2009
LastUpdateDate: 09/30/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XA121363ARY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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