Basic Information
Provider Information
NPI: 1669780565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GALDI
FirstName: LUISA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 LIPPINCOTT DR STE 410
Address2:  
City: MARLTON
State: NJ
PostalCode: 080534197
CountryCode: US
TelephoneNumber: 8563550330
FaxNumber: 8563550340
Practice Location
Address1: 1945 ROUTE 70 E STE C
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080032160
CountryCode: US
TelephoneNumber: 8563253760
FaxNumber: 8563253761
Other Information
ProviderEnumerationDate: 09/14/2010
LastUpdateDate: 02/24/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/24/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XOS017007PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X25MB09572600NJY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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